person
Dr. Clinton Larry Blake, DDS
General Practice Dentistry in Norman, Oklahoma
NPI 1649328782

Clinton Larry Blake is a General Practice Dentistry based in Newcastle, OK and is specialized in General Practice. Clinton Larry Blake practices in Norman, OK and has the professional credentials of DDS. The NPI Number for Clinton Larry Blake is 1649328782 and holds a License No. 4950075-9922 (Oklahoma).

The current practice location address for Clinton Larry Blake is 831 Siena Springs Dr., Norman, OK and can be reached out via phone at 405-392-4883 and via fax at 405-392-4889. You can also correspond with Clinton Larry Blake through the mailing address at 2820 NW 32ND ST, NEWCASTLE, OK - 73065-6576 (mailing address contact number: 405-392-4883).

Location: 831 Siena Springs Dr., Norman, OK, 73065-6576
person
Provider Profile Details
NPI Number
1649328782
Provider Name
Clinton Larry Blake
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
831 Siena Springs Dr., Norman, OK, 73065-6576
Phone Number
405-392-4883
Fax Number
405-392-4889
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
831 Siena Springs Dr.
City
State
Zip
73071
Phone Number
405-392-4883
Fax Number
405-392-4889
person
Provider Business Mailing Address Details
Address
831 Siena Springs Dr.
City
State
Zip
73071
Phone Number
405-392-4883
Fax Number
405-392-4889
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
4950075-9922 (Utah)
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.
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