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Blake Allen Dickens, DMD
Pediatric Dentist in Owensboro, Kentucky
NPI 1154852697

Blake Allen Dickens is a Pediatric Dentist based in Owensboro, KY and is specialized in Pediatric Dentistry. Blake Allen Dickens practices in Owensboro, KY and has the professional credentials of DMD. The NPI Number for Blake Allen Dickens is 1154852697 and holds a License No. 30.025303 (Kentucky).

The current practice location address for Blake Allen Dickens is 3817 Fairview Dr, Owensboro, KY and can be reached out via phone at 270-993-4076.

Location: 3817 Fairview Dr, Owensboro, KY, 42303-2117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154852697
Provider Name
Blake Allen Dickens
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3817 Fairview Dr, Owensboro, KY, 42303-2117
Phone Number
270-993-4076
Fax Number
Provider Enumeration Date
03/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100568370 05 KY
institution
Provider Business Practice Location Address Details
Address
3817 Fairview Dr
City
Owensboro
State
Kentucky
Zip
42303-2117
Phone Number
270-993-4076
Fax Number
person
Provider Business Mailing Address Details
Address
3817 Fairview Dr
City
Owensboro
State
Kentucky
Zip
42303-2117
Phone Number
270-993-4076
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9952 (Kentucky)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
30.025303 (Ohio)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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