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BRANDON BLAKE DDS PA
NPI 1639686736
Clinic/Center - Dental in Banner Elk, NC

Active since January 10, 2018
122 HARDEES LN, BANNER ELK, NC 28604(828) 898-4656 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon Blake Dds Pa NPPES

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

BRANDON BLAKE DDS PA (NPI 1639686736) is a healthcare organization registered as a dental in Banner Elk, North Carolina and active in the NPI registry since January 2018. The organization lists Brandon Joseph Blake, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1639686736
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBRANDON BLAKE DDS PA
Location Address122 HARDEES LNBanner Elk, NC 28604-9683
Mailing Address122 Hardees LnBanner Elk, NC 28604-9683 · (828) 898-4656
Phone(828) 898-4656
Organization SubpartNo
Authorized OfficialBrandon Joseph BlakeOwner/dentist · (828) 442-3206
Enumeration DateJanuary 10, 2018
✔ NPI 1639686736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NC · 8380
122 HARDEES LN, Banner Elk, NC 28604
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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 Brandon Blake Dds PA's NPI number?

The NPI number for Brandon Blake Dds PA is 1639686736. It was assigned to this organization in the NPPES registry on January 10, 2018.

Where is Brandon Blake Dds PA located?

Brandon Blake Dds PA is located at 122 Hardees Ln, Banner Elk, NC 28604. The listed phone number is (828) 898-4656.

What is Brandon Blake Dds PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Brandon Blake Dds PA was last updated on January 10, 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.