Individual provider · Type 1 NPI

Elizabeth Clair Blake, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Westford, MA

NPI number 1407054174 Active

Practice location

175 Littleton Rd
Westford, MA 01886-3196

Mailing address

812 Franklin St Apt B
Worcester, MA 01604-1785

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XDN 17644 (FL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN1855332 (MA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1407054174

Elizabeth Clair Blake, DMD's National Provider Identifier is 1407054174, issued on Jul 4, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Westford, MA. The record was last updated on May 12, 2010.