Individual provider · Type 1 NPI
Blake Jude Vidrine Ii, DDS
General Practice Dentistry · Baton Rouge, LA
NPI number
1841866969
Active
Practice location
10330 Airline Hwy Ste A6
Baton Rouge, LA 70816-4191
Fax (225) 308-8000
Mailing address
132 Cypress Dr
Crowley, LA 70526-2008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | D-0006879-C1 (AL) |
| General Practice Dentistry Primary | 1223G0001X | 7227 (LA) |
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.
Another provider at this address
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About NPI 1841866969
Blake Jude Vidrine Ii, DDS's National Provider Identifier is 1841866969, issued on May 29, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Baton Rouge, LA. The record was last updated on May 4, 2023.