Individual provider · Type 1 NPI
Blake Allen Dickens, DMD
Pediatric Dentistry · Owensboro, KY
NPI number
1154852697
Active
Practice location
3817 Fairview Dr
Owensboro, KY 42303-2117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.025303 (OH) |
| Pediatric Dentistry Primary | 1223P0221X | 9952 (KY) |
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.
Another provider at this address
Other pediatric dentistry providers in Owensboro
About NPI 1154852697
Blake Allen Dickens, DMD's National Provider Identifier is 1154852697, issued on Mar 26, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Owensboro, KY. The record was last updated on Feb 14, 2023.