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Active NPI 1013191006 Organization (Entity Type 2)

Blake Herbison Dds Pllc

Dentist • Bothell, WA

About Blake Herbison Dds Pllc NPI 1013191006 Summary

Blake Herbison Dds Pllc is a verified healthcare organization specializing in Dentist operating in Bothell, WA. Located at 18520 101ST AVE NE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1013191006.

Administrative operations and authorized compliance are overseen by Blake Herbison (Member).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

18520 101st Ave Ne

Bothell, WA 980113804

Telephone 4254862727

Authorized Official Information

Authorized Contact Name

DR. Blake Herbison , D.D.S.

Title / Role

Member

Official Telephone

4254862727

Facility Classifications & Specialties

Dentist Primary Taxonomy

NUCC Taxonomy Code: 122300000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked
Blake Herbison NPI 1689996340

Dentist - General Practice

Bothell, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active August 08, 2013

NPI status registered as active in NPPES database

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Updated Practice Location August 08, 2013

Registered at 18520 101ST AVE NE, BOTHELL, WA 980113804 (Tel: 4254862727)

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Updated Business Mailing Address August 08, 2013

Registered at 22826 36TH AVE SE, BOTHELL, WA 980216203

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Organization / Clinic Name Updated August 08, 2013

Operating as BLAKE HERBISON DDS PLLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2013

Dentist (License #DE00011059 in WA)

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Initial NPI Registration & Enumeration December 26, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1013191006
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 26, 2007
Last Update: August 08, 2013

Mailing Address

22826 36th Ave Se

Bothell, WA 980216203

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.