Blake Brog, D.M.D.
NPI 1871624403 · Orthodontics and Dentofacial Orthopedics Dentistry · Bountiful, UT
Blake Brog, D.M.D. is a Orthodontics and Dentofacial Orthopedics Dentistry provider in Bountiful, UT (NPI 1871624403).
Provider details
- NPI number
- 1871624403
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 142188-9921 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2007-07-08
Frequently asked questions
- What is Blake Brog's NPI number?
- Blake Brog's National Provider Identifier (NPI) is 1871624403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Brog's specialty?
- Blake Brog is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Blake Brog located?
- Blake Brog's practice location on file with NPPES is 469 Medical Dr, Bountiful, UT 84010-4900.
- What is Blake Brog's phone number?
- The practice phone number listed in the NPPES registry for Blake Brog is (801) 292-1888.
- Is Blake Brog's NPI active?
- Yes — Blake Brog's NPI (1871624403) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.