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Active NPI 1992862593 Individual Practitioner Male Practitioner

Dr. Thomas Joel Blake , DDS, MSD

Dentist - General Practice • Spokane Valley, WA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Blake, DDS, MSD is a registered healthcare professional specializing in Dentist - General Practice in Spokane Valley, WA. Practice services are available at 721 N PINES RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

721 N Pines Rd
Suite 101

Spokane Valley, WA 992065225

Telephone 5099261234
Fax 5099261701
Associated Practice Facility / Clinic
🏢 J Blake, Dmd, Ps Facility NPI 1255531018

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane Valley, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
61 Specialists

Practicing in Spokane Valley, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00010588

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License UT 5226914-9921

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ 5775

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5051255 (WA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Dale Ruemping , DDS, MSD

Dentist - Pediatric Dentistry

NPI 1104983709

Doctor of Dental Surgery, MSD

Dr. Ryan Blake , DMD

Dentist - Pediatric Dentistry

NPI 1861841918

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2012

Registered at 721 N PINES RD, SUITE 101, SPOKANE VALLEY, WA 992065225 (Tel: 5099261234)

📍
Updated Business Mailing Address August 30, 2012

Registered at 721 N PINES RD, SUITE 101, SPOKANE VALLEY, WA 992065225 (Tel: 5099261234)

👤
Provider Name / Credentials Updated August 30, 2012

Recorded as THOMAS BLAKE, D.D.S., M.S.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2012

Dentist (License #DE00010588 in WA)

🟢
Initial NPI Registration & Enumeration January 02, 2007

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: 1992862593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: August 30, 2012
Sole Proprietor: Yes

Mailing Address

721 N Pines Rd, Suite 101

Spokane Valley, WA 992065225

Phone: 5099261234

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.