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 9 months ago |
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.
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