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Contact Information

ALAN M. BLAKE D.D.S.
808 N. 9TH ST.
ESTHERVILLE, IA51334
 Phone: 712-362-5454
 Fax: 712-362-4737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ALAN M. BLAKE D.D.S.

NPI # 1558694117
LBN Legal business name ALAN M. BLAKE D.D.S.
Authorized official ALAN BLAKE - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2009
Last updated 09/15/2009 - About 17 years ago
Identifiers
IA License # 06008
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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