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Scott M Blake, DDS
Oral and Maxillofacial Pathology Dentist in Idaho Falls, Idaho
NPI 1376684175

Scott M Blake is a Oral and Maxillofacial Pathology Dentist based in Idaho Falls, ID and is specialized in Oral and Maxillofacial Pathology. Scott M Blake practices in Idaho Falls, ID and has the professional credentials of DDS. The NPI Number for Scott M Blake is 1376684175 and holds a License No. D3728 (Idaho).

The current practice location address for Scott M Blake is 333 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-523-2160 and via fax at 208-552-8079.

Location: 333 S Woodruff Ave, Idaho Falls, ID, 83401-4322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376684175
Provider Name
Scott M Blake
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
333 S Woodruff Ave, Idaho Falls, ID, 83401-4322
Phone Number
208-523-2160
Fax Number
208-552-8079
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010143970 01 ID REGENCE BLUE SHIELD
118557800 05 WY
1504752 01 ID UNITED CONCORDIA
6I468 01 ID FEDERAL BLUE CROSS
806657300 05 ID
806720800 05 ID
institution
Provider Business Practice Location Address Details
Address
333 S Woodruff Ave
City
Idaho Falls
State
Idaho
Zip
83401-4322
Phone Number
208-523-2160
Fax Number
208-552-8079
person
Provider Business Mailing Address Details
Address
333 S Woodruff Ave
City
Idaho Falls
State
Idaho
Zip
83401-4322
Phone Number
208-523-2160
Fax Number
208-552-8079
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Pathology
Taxonomy
1223P0106X
License No.
D3728 (Idaho)
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
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