Individual provider · Type 1 NPI
Blake Latendresse, DDS
General Practice Dentistry · Bellevue, NE
NPI number
1285369157
Active
Practice location
1004 Lincoln Rd Ste 100
Bellevue, NE 68005-2341
Mailing address
6462 Poppleton Ave
Omaha, NE 68106-1542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 7846 (NE) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1285369157
Blake Latendresse, DDS's National Provider Identifier is 1285369157, issued on Jul 23, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bellevue, NE. The record was last updated on Jul 23, 2022.