| Brandon Blake Dds Pa | |
|
122 Hardees Ln Banner Elk NC 28604-9683 | |
| (828) 898-4656 | |
| Not Available |
| Full Name | Brandon Blake Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 122 Hardees Ln, Banner Elk, North Carolina |
| Authorized Official Name and Position | Brandon Joseph Blake (OWNER/DENTIST) |
| Authorized Official Contact | 8284423206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Blake Dds Pa 122 Hardees Ln Banner Elk NC 28604-9683 Ph: (828) 898-4656 | Brandon Blake Dds Pa 122 Hardees Ln Banner Elk NC 28604-9683 Ph: (828) 898-4656 |
| NPI Number | 1639686736 |
|---|---|
| Provider Enumeration Date | 01/10/2018 |
| Last Update Date | 01/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639686736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8380 (North Carolina) | Primary |
William H Burrow Dds Pllc Dba High Country Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2043 Tynecastle Highway, Banner Elk, NC 28604 Phone: 828-898-8043 |