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BLAKE DAVID MCDONALD
NPI 1013479492
Dentist - Pediatric Dentistry in Riverton, UT

Active since April 03, 2019
4651 W 13400 S STE 110, RIVERTON, UT 84096(801) 515-5858 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2024, Jun 1, 2021, Apr 3, 2019 (3 updates tracked since 2019).

About Blake David Mcdonald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE DAVID MCDONALD (NPI 1013479492) is an individual pediatric dentistry provider in Riverton, Utah, licensed in Utah (11622565-9921) and active in the NPI registry since April 2019. He maintains a secondary practice location in Bountiful.

NPPES Registry Identity

NPI1013479492
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameBLAKE DAVID MCDONALD
Location Address4651 W 13400 S STE 110Riverton, UT 84096-6483
Mailing Address11039 S Ryan Park AveSandy, UT 84092-5205 · (425) 941-0314
Phone(801) 515-5858
Sole ProprietorYes
Enumeration DateApril 3, 2019
Last NPPES UpdateFebruary 8, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1013479492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in UT · 11622565-9921
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4651 W 13400 S STE 110, Riverton, UT 84096
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Secondary Practice Location 1

Location 159 W Pages Ln Ste 110Bountiful, UT 84010 · Phone (801) 294-8880

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILIES FIRST ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
4651 W 13400 S STE 110
RIVERTON, UT 84096
Salt Lake County (801) 515-5858
KIRSTIN PETERSON LCSW
Social Worker (Clinical)
4651 W 13400 S STE 110
RIVERTON, UT 84096
Salt Lake County (801) 254-9700
FAMILIES FIRST PEDIATRIC DENTISTRY
Dentist (Pediatric Dentistry)
4651 W 13400 S STE 110
RIVERTON, UT 84096
Salt Lake County (801) 450-1250
DR. ERICK JORDAN LUND DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
4651 W 13400 S STE 110
RIVERTON, UT 84096
Salt Lake County (801) 515-5858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Mcdonald's NPI number?

The NPI number for Blake Mcdonald is 1013479492. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Blake Mcdonald located?

Blake Mcdonald practices at 4651 W 13400 S Ste 110, Riverton, UT 84096. The listed phone number is (801) 515-5858.

What is Blake Mcdonald's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Blake Mcdonald accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Blake Mcdonald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blake Mcdonald was last updated on February 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.