Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285040394 Individual Practitioner Male Practitioner

Dr. Blake Imam , DMD

Dentist • Meridian, ID

Professional Overview & Biography Verified Profile Summary

Dr. Blake Imam, DMD is a registered healthcare professional specializing in Dentist in Meridian, ID. Practice services are available at 317 W CHERRY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

317 W Cherry Ln

Meridian, ID 836421608

Telephone 2088882055
Fax 2083951017
Associated Practice Facility / Clinic
🏢 Willowtree Dental Group Pllc Facility NPI 1548282528

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Meridian, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
43 Specialists

Practicing in Meridian, ID (448 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D-4604

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Marivin Oto , DDS

Dentist - General Practice

NPI 1023189131

Doctor of Dental Surgery

Dr. Julie Hess , DMD

Dentist - General Practice

NPI 1053482158

Doctor of Dental Medicine

NPI 1083802268

Doctor of Dental Surgery

Dr. Bruce Richardson , DDS

Dentist - Periodontics

NPI 1306959424

Doctor of Dental Surgery

Dr. Robert Hendricks , DDS

Dentist - General Practice

NPI 1598836694

Doctor of Dental Surgery

NPI 1669643425

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2014

Registered at 317 W CHERRY LN, MERIDIAN, ID 836421608 (Tel: 2088882055)

📍
Updated Business Mailing Address July 09, 2014

Registered at 317 W CHERRY LN, MERIDIAN, ID 836421608 (Tel: 2088882055)

👤
Provider Name / Credentials Updated July 09, 2014

Recorded as BLAKE IMAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2014

Dentist (License #D-4604 in ID)

🟢
Initial NPI Registration & Enumeration July 09, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285040394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2014
Last Update: July 09, 2014
Sole Proprietor: No

Mailing Address

317 W Cherry Ln

Meridian, ID 836421608

Phone: 2088882055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.