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Blake David Mcdonald

Pediatric Dentist

8110 Birmingham Way Bldg 28
San Diego , California 92123-2758

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Blake David Mcdonald

Pediatric Dentist

8110 Birmingham Way Bldg 28
San Diego , California 92123-2758

(425) 941-0314

Write a Review Save Call

Blake David Mcdonald

Pediatric Dentist

8110 Birmingham Way Bldg 28
San Diego , California 92123-2758

(425) 941-0314 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Dentist

Languages spoken

  • English

Location

8110 Birmingham Way Bldg 28 San Diego , California 92123-2758

First Address

  • Blake David Mcdonald
  • 11039 S Ryan Park Ave
  • Sandy, UT
  • Zip : 84092-5205
  • Phone : (425) 941-0314

Second Address

  • Blake David Mcdonald
  • 8110 Birmingham Way Bldg 28
  • San Diego, CA
  • Zip : 92123-2758
  • Phone : (619) 205-1950

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FAQs


Where did Blake David Mcdonald attend graduate school?

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Where did Blake David Mcdonald do his residency?

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Where did Blake David Mcdonald do his fellowship?

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Is Blake David Mcdonald board certified?

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In what state does Blake David Mcdonald practice in?

California

Where is Blake David Mcdonald ’s practice located?

8110 Birmingham Way Bldg 28 , San Diego, California, 92123-2758

What is Blake David Mcdonald ’s gender?

Male

Is Blake David Mcdonald a sole practitioner?

No

Is Blake David Mcdonald accepting new patients?

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What languages does Blake David Mcdonald speak?

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Does Blake David Mcdonald accept insurance?

Yes, Blake David Mcdonald accepts insurance

Does Blake David Mcdonald offers telemedicine?

Blake David Mcdonald has not indicated if he offers telemedicine

What is Blake David Mcdonald ’s professional license number?

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What is Blake David Mcdonald ’s NPI number?

1013479492

Does Blake David Mcdonald have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 1223P0221X Pediatric Dentist 11622565-9921 UT

National Provider Identifier

NPI 1013479492
Provider Name Blake David Mcdonald
First Address Sandy, UT 84092-5205
Second Address San Diego, CA 92123-2758
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 03/04/2019
Last Update Date 01/06/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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