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Blake Dentistry, Pc
General Practice Dentistry in Coudersport, Pennsylvania
NPI 1962567644

Blake Dentistry, Pc is a General Practice Dentistry based in Coudersport, PA and is specialized in General Practice. Blake Dentistry, Pc practices in Coudersport, PA. The NPI Number for Blake Dentistry, Pc is 1962567644 and holds a License No. DS-035521 (Pennsylvania).

The current practice location address for Blake Dentistry, Pc is 507 Dwight St, Coudersport, PA and can be reached out via phone at 814-274-7262 and via fax at 814-274-0879.

Location: 507 Dwight St, Coudersport, PA, 16915-1792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962567644
Provider Name
Blake Dentistry, Pc
Credential
Provider Entity Type
Organization
Address
507 Dwight St, Coudersport, PA, 16915-1792
Phone Number
814-274-7262
Fax Number
814-274-0879
Provider Enumeration Date
12/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0019285420002 05 PA
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
814-274-0879
person
Provider Business Mailing Address Details
Address
507 Dwight St
City
Coudersport
State
Pennsylvania
Zip
16915-1792
Phone Number
814-274-7262
Fax Number
814-274-0879
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS-035521 (Pennsylvania)
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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