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SCOTT M. BLAKE, DDS, PC
NPI 1972779916
Dentist - Oral and Maxillofacial Surgery in Idaho Falls, ID

Active since April 30, 2008
333 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 523-2160 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott M. Blake, Dds, Pc NPPES

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

SCOTT M. BLAKE, DDS, PC (NPI 1972779916) is a healthcare organization registered as an oral and maxillofacial surgery in Idaho Falls, Idaho and active in the NPI registry since April 2008. The organization lists Elaine Schmidt, Receptionist, as its authorized official.

NPPES Registry Identity

NPI1972779916
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSCOTT M. BLAKE, DDS, PC
Location Address333 S WOODRUFF AVEIdaho Falls, ID 83401-4322
Mailing Address333 S Woodruff AveIdaho Falls, ID 83401-4322 · (208) 523-2160
Phone(208) 523-2160
Organization SubpartNo
Authorized OfficialElaine SchmidtReceptionist · (208) 523-2160
Enumeration DateApril 30, 2008
✔ NPI 1972779916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in ID · D3728
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
333 S WOODRUFF AVE, Idaho Falls, ID 83401
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Other Identifiers 7

Other1504752United Concordia
Other6M014Upin Blue Cross
Medicaid806657300ID
Medicaid118557800WY
Other000010143970Regence Blueshield
Medicaid806720800ID
Other6I468Federal Bxbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

OWEN DENTAL, PC
Dentist (General Practice)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-4700
KEVIN RICHARD MUDROW D.D.S.
Dentist
333 S WOODRUFF AVE, SUITE F
IDAHO FALLS, ID 83401
Bonneville County (208) 524-2030
RUSSELL GUYMON ORTHODONTICS, PA
Dentist (Orthodontics and Dentofacial Orthopedics)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 529-3500
KEVIN MUDROW DDS PLLC
Dentist
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 524-2036
VERNON O. GAFFNER, D.M.D., P.A.
Dentist
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 524-2034
VERNON O GAFFNER D.M.D.
Dentist (General Practice)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 524-2034
SCOTT M BLAKE DDS
Dentist (Oral and Maxillofacial Pathology)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-2160
DR. RYAN MCGRAW DC
Chiropractor
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 522-2591

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 Scott M. Blake, Dds, PC's NPI number?

The NPI number for Scott M. Blake, Dds, PC is 1972779916. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is Scott M. Blake, Dds, PC located?

Scott M. Blake, Dds, PC is located at 333 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 523-2160.

What is Scott M. Blake, Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Scott M. Blake, Dds, PC was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.