DR. BLAKE DANIEL ENTRALGO D.M.D
NPI 1194002196
Dentist in Marlton, NJ

Q: What is Blake Entralgo's NPI number?

The NPI number for Blake Entralgo is 1194002196. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Q: What is Blake Entralgo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Entralgo was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 04, 2011

560A LIPPINCOTT DRIVE, BLDG B, MARLTON, NJ 08053(856) 985-1800(856) 985-7170 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Blake Daniel Entralgo D.m.d NPPES

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

DR. BLAKE DANIEL ENTRALGO D.M.D (NPI 1194002196) is an individual dentist in Marlton, New Jersey, licensed in New Jersey (22DI02666400) and active in the NPI registry since November 2011. He maintains a secondary practice location in Camp Lejeune.

NPPES Registry Identity

NPI1194002196

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BLAKE DANIEL ENTRALGOCredential: D.M.D

Location Address560A LIPPINCOTT DRIVE, BLDG BMarlton, NJ 08053

Mailing Address560a Lippincott Drive, Bldg BMarlton, NJ 08053 · (856) 985-1800 · Fax (856) 985-7170

Phone(856) 985-1800

Fax(856) 985-7170

Sole ProprietorYes

Enumeration DateNovember 4, 2011

Last NPPES UpdateMay 3, 2018

✔ NPI 1194002196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NJ · 22DI02666400

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

560A LIPPINCOTT DRIVE, Marlton, NJ 08053

Open in Google Maps ↗

Secondary Practice Location 1

Location 12D DENBN/NDC 315 McHugh Blvd, COMMANDING OFFICERCamp Lejeune, NC 28542-0130 · Phone (910) 451-2208 ext. 203 · Fax (910) 451-8036

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. TERESA ADDIEGO DMD

Dentist

560A LIPPINCOTT DRIVE
MARLTON, NJ 08053

Burlington County (856) 985-1800

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 Entralgo's NPI number?

The NPI number for Blake Entralgo is 1194002196. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Where is Blake Entralgo located?

Blake Entralgo practices at 560A Lippincott Drive Bldg B, Marlton, NJ 08053. The listed phone number is (856) 985-1800.

What is Blake Entralgo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Blake Entralgo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Blake Entralgo 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 Entralgo was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.