NPI 1407054174 · live from the CMS NPI Registry
Elizabeth Clair Blake, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Westford, MA. National Provider Identifier 1407054174, active.
NPI record
| NPI | 1407054174 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 175 Littleton Rd, Westford, MA 01886 |
| Practice phone | 978-392-9800 |
| Mailing address | 812 Franklin St Apt B, Worcester, MA 01604 |
| Enumerated | July 4, 2007 |
| Last updated | May 12, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | DN 17644 (FL) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN1855332 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.