| Dr Shane Christopher Blake, DMD | |
|
507 Dwight St, Coudersport, PA 16915-1792 | |
| (814) 274-7262 | |
| (800) 888-4760 |
| Full Name | Dr Shane Christopher Blake |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 507 Dwight St, Coudersport, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023360609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS035521 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Christopher Blake, DMD 507 Dwight St, Coudersport, PA 16915-1792 Ph: (814) 274-7262 | Dr Shane Christopher Blake, DMD 507 Dwight St, Coudersport, PA 16915-1792 Ph: (814) 274-7262 |
Dr. Larissa Ann Delo, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6 Niles Hill Rd, Coudersport, PA 16915 Phone: 814-274-1111 | |
Dr. Nina Lelic Miller, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300 | |
Victor Douglas Brown, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6 Niles Hill Road, Coudersport, PA 16915 Phone: 814-274-1111 Fax: 814-274-7786 | |
Holly Mauser, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 438 E 2nd St, Coudersport, PA 16915 Phone: 814-274-5252 | |
Dr. Peter C Ryan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 438 East Second St, Coudersport, PA 16915 Phone: 814-274-7731 Fax: 814-274-7731 | |
Tod Evans Twichell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-5252 |