Mcdonald, Blake David
Mcdonald, Blake David is an sole proprietor health care provider with primary practice located at 4651 W 13400 S Ste 110 , Riverton UT 84096-6483. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Mcdonald, Blake David can be contacted via phone (801) 515-5858.Contact Information
Primary practice address
4651 W 13400 S Ste 110
Riverton UT 84096-6483
Phone: (801) 515-5858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 11622565-9921 | Utah |
Profile Details
| NPI number | 1013479492 |
|---|---|
| LBN Legal business name | Mcdonald, Blake David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2019 |
| Last updated | Feb 8th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Molinari, Gail Ellen
28050 Harper Ave , St Clair Shores MI 48081-1562 -
Skibinski, Jb
3813 S Kiwanis Cir , Sioux Falls SD 57105-4266 -
Stevenson, Nathan Daniel
4019 W 12600 S Suite 200, Riverton UT 84096 -
Strole, D. Gordon
3550 Hulen St Ste C, Fort Worth TX 76107-6885 -
Mccorkle, Allen Douglas
1829 Plaza Dr , Winchester VA 22601-6365 -
Bhanot, Deepali Mehta
20400 Observation Dr # 208, Germantown MD 20876-4085 -
Ford, Daniel Christopher
4013 W 13400 S , Riverton UT 84096-6410 -
Rowley, Scott T
615 N F St , Aberdeen WA 98520-2657