Kidsmile Dental

LBN: J Blake, Dmd, Ps
Kidsmile Dental is an health care organization with primary practice located at 12615 E Mission Ave Suite 312, Spokane Valley WA 99216-1047. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. J Blake, Dmd, Ps can be contacted via phone (509) 926-1234, or through Blake, T. Joel via phone (509) 926-1234.

Contact Information

Primary practice address
12615 E Mission Ave Suite 312 Spokane Valley WA 99216-1047
Phone: (509) 926-1234
Fax: (509) 926-1701
Website:
Map and Directions
Authorized official contact:
Name: Blake, T. Joel Doctor of Dental Medicine (DMD)
Phone: (509) 926-1234

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10588 Washington
Dental Providers / Pediatric Dentistry 1223P0221X 9846 Washington

Profile Details

NPI number 1255531018
LBN Legal business name J Blake, Dmd, Ps
DBA Doing business as Kidsmile Dental
Authorized official Blake, T. Joel Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2007
Last updated Mar 31st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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