Individual provider · Type 1 NPI

Blake Imam, DMD

Dentist · Meridian, ID

NPI number 1285040394 Active

Practice location

317 W Cherry Ln
Meridian, ID 83642-1608

Fax (208) 395-1017

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD-4604 (ID)

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 1285040394

Blake Imam, DMD's National Provider Identifier is 1285040394, issued on Jul 9, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Meridian, ID. The record was last updated on Jul 9, 2014.