IndividualActive
Blake Garrett, MD
NPI 1265726400 · Oral and Maxillofacial Surgery (Dentist) · Elmhurst, IL
Provider details
- NPI number
- 1265726400
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019.028707 (IL)
Specialties & taxonomies
Dental Providers
Practice location
533 W North Ave Ste 200
Elmhurst, IL 60126-2143
Phone: (630) 941-3400
Approximate (ZIP-level) locationGet directions
Mailing address
533 W North Ave Ste 200
Elmhurst, IL 60126-2143
Registry dates
- Enumerated
- 2011-06-06
- Last updated
- 2024-04-11
- Certified
- 2024-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.