Brandon Blake Dds Pa | |
122 Hardees Ln Banner Elk NC 28604-9683 | |
(828) 898-4656 | |
Not Available |
Full Name | Brandon Blake Dds Pa |
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Speciality | Clinic/center - Dental |
Location | 122 Hardees Ln, Banner Elk, North Carolina |
Authorized Official Name and Position | Brandon Joseph Blake (OWNER/DENTIST) |
Authorized Official Contact | 8284423206 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brandon Blake Dds Pa 122 Hardees Ln Banner Elk NC 28604-9683 Ph: (828) 898-4656 | Brandon Blake Dds Pa 122 Hardees Ln Banner Elk NC 28604-9683 Ph: (828) 898-4656 |
NPI Number | 1639686736 |
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Provider Enumeration Date | 01/10/2018 |
Last Update Date | 01/10/2018 |
Identifier | Type | State | Issuer |
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1639686736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 8380 (North Carolina) | Primary |
William H Burrow Dds Pllc Dba High Country Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2043 Tynecastle Highway, Banner Elk, NC 28604 Phone: 828-898-8043 |