Individual provider · Type 1 NPI
Shane Christopher Blake, DMD
Dentist · Coudersport, PA
Practice location
507 Dwight St
Coudersport, PA 16915-1792
Fax (800) 888-4760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | DS035521 (PA) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1023360609
Shane Christopher Blake, DMD's National Provider Identifier is 1023360609, issued on Oct 8, 2012. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Coudersport, PA. The record was last updated on Oct 8, 2012.