OrganizationActive
Scott M. Blake, DDS, PC
NPI 1972779916 · Oral and Maxillofacial Surgery (Dentist) · Idaho Falls, ID
Provider details
- NPI number
- 1972779916
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Elaine Schmidt, Receptionist(208) 523-2160
- License
- D3728 (ID)
Specialties & taxonomies
Dental Providers
Practice location
333 S Woodruff Ave
Idaho Falls, ID 83401-4322
Phone: (208) 523-2160
Approximate (ZIP-level) locationGet directions
Mailing address
333 S Woodruff Ave
Idaho Falls, ID 83401-4322
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2008-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.