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Dr. Shane Christopher Blake, DMD
Dentist in Coudersport, Pennsylvania
NPI 1023360609

Shane Christopher Blake is a Dentist based in Coudersport, PA. Shane Christopher Blake practices in Coudersport, PA and has the professional credentials of DMD. The NPI Number for Shane Christopher Blake is 1023360609 and holds a License No. DS035521 (Pennsylvania).

The current practice location address for Shane Christopher Blake is 507 Dwight St, Coudersport, PA and can be reached out via phone at 814-274-7262 and via fax at 800-888-4760.

Location: 507 Dwight St, Coudersport, PA, 16915-1792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023360609
Provider Name
Shane Christopher Blake
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
507 Dwight St, Coudersport, PA, 16915-1792
Phone Number
814-274-7262
Fax Number
800-888-4760
Provider Enumeration Date
10/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
507 Dwight St
City
Coudersport
State
Pennsylvania
Zip
16915-1792
Phone Number
814-274-7262
Fax Number
800-888-4760
person
Provider Business Mailing Address Details
Address
507 Dwight St
City
Coudersport
State
Pennsylvania
Zip
16915-1792
Phone Number
814-274-7262
Fax Number
800-888-4760
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
DS035521 (Pennsylvania)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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