Individual provider · Type 1 NPI
Blake Denton Boleware, DMD, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Ridgeland, MS
Practice location
525 Thomastown Ln Ste A
Ridgeland, MS 39157-3440
Other practice locations
- 2685 Crane Ridge Dr Ste A, Jackson, MS 39216-4906 · (601) 981-3036
- 749 Clinton Pkwy, Clinton, MS 39056-5245 · (601) 926-1772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | OR-575-20 (MS) |
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…
Other orthodontics and dentofacial orthopedics dentistry providers in Ridgeland
- Karl L. Bierdeman, DMDOrthodontics and Dentofacial Orthopedics Dentistry Ridgeland, MS NPI 1346552767
- Chad Michael Hartley, DMDOrthodontics and Dentofacial Orthopedics Dentistry Ridgeland, MS NPI 1396518726
- Priscilla Almond Jolly, DMDOrthodontics and Dentofacial Orthopedics Dentistry Ridgeland, MS NPI 1467760181
- Jason William Vassar, DMDOrthodontics and Dentofacial Orthopedics Dentistry Ridgeland, MS NPI 1740577071
About NPI 1881200673
Blake Denton Boleware, DMD, MS's National Provider Identifier is 1881200673, issued on Sep 17, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Ridgeland, MS. The record was last updated on Aug 14, 2023.