DR. BLAKE DANIEL SMITH


Address: 2600 Bemidji Ave N, Bemidji, MN 56601-2324
Phone: 2184447462

DR. BLAKE DANIEL SMITH (NPI# 1881031946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881031946
Entity Type Individual
Full Name DR. BLAKE DANIEL SMITH
Credential D.D.S.
Practice Address 2600 Bemidji Ave N
Bemidji
MN 56601-2324
Practice Telephone 2184447462
Practice Fax Number 2187514462
Mailing Telephone 2184447462
Mailing Fax Number 2187514462
Enumeration Date 2013-05-30
Last Update Date 2013-05-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D13225 MN Dental Providers

Other Providers BLAKE SMITH

NPI Name Taxonomy Address Enumeration
1780927269 Blake Robert Smith Otolaryngology 3650 Steve Reynolds Blvd Dept Of, Duluth, GA 30096-4506 2013-04-03
1952591398 Blake E Smith Optometrist 4612 S Coulter St, Amarillo, TX 79119-6403 2007-08-01
1649839317 Blake Edward Smith Counselor 10564 Se Washington St, Portland, OR 97216-2809 2019-06-06
1275089609 Blake Smith Specialist 2630 W Rumble Rd, Modesto, CA 95350-0155 2016-08-26
1639547904 Blake Eric Smith Occupational Therapy Assistant 169 Valentine Rd, Pittsfield, MA 01201-3042 2015-09-03
1770979221 Blake Gaither Smith Student in an Organized Health Care Education/Training Program 625 19th Street South, Birmingham, AL 35249 2015-04-11
1093132631 Blake Andre Smith Physician Assistant 2854 Bell St, Zanesville, OH 43701-1721 2014-03-20
1760718282 Blake Smith Registered Nurse 80 Enoch Blvd, Savannah, TN 38372 2009-10-19
1518192533 Blake Allen Smith Psychiatry & Neurology 4805 Montgomery Rd, Suite 410, Cincinnati, OH 45212-2198 2009-05-19
1760512966 Blake Andrew Smith Emergency Medicine 1301 Punchbowl St, Honolulu, HI 96813-2402 2007-03-06

Office Location

Street Address 2600 BEMIDJI AVE N
City BEMIDJI
State MN
Zip Code 56601-2324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245321389 Bemidji Dental Clinic Dentist 2600 Bemidji Ave N, Bemidji, MN 56601 2006-09-27
1457570145 George Heinrich Wellner Dentist 2600 Bemidji Ave N, Bemidji, MN 56601 2007-04-24
1619196300 David Dean Schram Dentist 2600 Bemidji Ave N, Bemidji, MN 56601 2007-04-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336772425 Northern Minnesota Addiction Wellness Center Substance Abuse Rehabilitation Facility 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 2020-02-17
1366093841 Vickie Lynn Matthews Technician 1018 Miles Ave Se, Bemidji, MN 56601 2019-09-25
1518443530 Lindsey Marie Whiting Registered Nurse 1300 Anne St, Bemidji, MN 56601 2018-07-12
1801257662 Meghan Zigrida Paquette Registered Nurse 6055 161st Street Nw, Cass Lake, MN 56601 2016-03-08
1144686106 Northwest Indian Oic Home Health 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 2016-01-06
1831560424 Laura Hansen, Msw, Licsw Counseling Services, Inc. Social Worker 403 4th Street Ne, Suite 110, Bemidji, MN 56601 2015-10-08
1679949028 Grand St. Paul Cvs LLC Durable Medical Equipment & Medical Supplies 2312 Bemidji Ave North, Bemidji, MN 56601 2015-08-19
1255717617 Mary S. Salter, Md Psc Internal Medicine 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 2015-08-07
1225420615 Cristin Evans Counselor 403 4th Street, Suite 300, Bemidji, MN 56601 2015-02-23
1619367919 Angela Krom Fournier Psychologist 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 2015-01-26
Find all providers in zip 56601

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184885386 Jonetta H Scotland Dentist 430 25th St Nw, Bemidji, MN 56601-2486 2008-06-19
1477751816 Laura Ann Schwindt Dentist 3622 Moberg Drive, Bemidji, MN 56601 2007-07-06
1194944876 Veronica Lin Cooper Dentist 1628 30th St Nw, Bemidji, MN 56601-4690 2007-04-24
1902973282 Lee Conrad Scotland Dentist 430 25th Street Nw, Bemidji, MN 56601 2006-11-29
1881186625 Ashley Kay Metcalf Dentist 1900 Division St W Unit 2, Bemidji, MN 56601-6397 2018-06-06
1013447069 Trevor Andrews Dentist 430 25th St Nw, Bemidji, MN 56601-2486 2017-06-13
1841729472 Terry David Schmitt Dentist 1311 Bemidji Ave N, Bemidji, MN 56601-3811 2017-06-07
1093094039 Baret Williams-furfaro Dentist 3622 Moberg Dr Nw, Bemidji, MN 56601-5644 2011-08-09
1124313143 Katie Louise Peterson Dentist 1405 Anne St Nw, Northern Dental Access Center, Bemidji, MN 56601-5113 2011-06-17
1235435215 Ravi N Gupta Dentist 1405 Anne St Nw, Bemidji, MN 56601-5113 2011-02-08
Find all providers in BEMIDJI

Competitor

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City BEMIDJI
Zip Code 56601

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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