OrganizationActive
Brandon Blake DDS PA
NPI 1639686736 · Dental Clinic/Center · Banner Elk, NC
Provider details
- NPI number
- 1639686736
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brandon Blake, Owner/Dentist(828) 442-3206
- License
- 8380 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
122 Hardees Ln
Banner Elk, NC 28604-9683
Phone: (828) 898-4656
Approximate (ZIP-level) locationGet directions
Mailing address
122 Hardees Ln
Banner Elk, NC 28604-9683
Registry dates
- Enumerated
- 2018-01-10
- Last updated
- 2018-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.