Individual provider · Type 1 NPI

Blake David McDonald

Pediatric Dentistry · Riverton, UT

NPI number 1013479492 Active

Practice location

4651 W 13400 S Ste 110
Riverton, UT 84096-6483

Mailing address

11039 S Ryan Park Ave
Sandy, UT 84092-5205

Other practice locations

  • 59 W Pages Ln Ste 110, Bountiful, UT 84010 · (801) 294-8880

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X11622565-9921 (UT)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4 other providers at this address

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About NPI 1013479492

Blake David McDonald's National Provider Identifier is 1013479492, issued on Apr 3, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Riverton, UT. The record was last updated on Feb 8, 2024.