Individual provider · Type 1 NPI

Blake Daniel Entralgo, D.M.D

Dentist · Marlton, NJ

NPI number 1194002196 Active

Practice location

560A Lippincott Drive, Bldg B
Marlton, NJ 08053

Call (856) 985-1800 Map

Fax (856) 985-7170

Other practice locations

  • 2D Denbn/ndc 315 Mchugh Blvd, Commanding Officer, Camp Lejeune, NC 28542-0130 · (910) 451-2208

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X22DI02666400 (NJ)

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 1194002196

Blake Daniel Entralgo, D.M.D's National Provider Identifier is 1194002196, issued on Nov 4, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Marlton, NJ. The record was last updated on May 3, 2018.