Scott M. Blake, Dds, Pc is a Oral and Maxillofacial Dental Clinic in Idaho Falls, Idaho. It is located at 333 S Woodruff Ave, Idaho Falls, ID and its contact number is 208-523-2160. The authorized person for Scott M. Blake, Dds, Pc is Elaine Schmidt
who is Receptionist of the clinic and their contact number is 208-523-2160. Other organizations associated with this clinic are Owen Dental, Pc, Russell Guymon Orthodontics, Pa, Kevin Mudrow Dds Pllc, Vernon O. Gaffner, D.m.d., P.a., Scott M. Blake, Dds, Pc, The primary license number for Scott M. Blake, Dds, Pc is D3728 (Oral and Maxillofacial Surgery) in Idaho.
Scott M. Blake, Dds, Pc Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Scott M. Blake, Dds, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Scott M. Blake, Dds, Pc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 333 S Woodruff Ave, Idaho Falls,
Idaho, 83401-4322 |
| Phone: | 208-523-2160 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Elaine Schmidt |
| Position: | Receptionist |
| Contact Number: | 208-523-2160 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Scott M. Blake, Dds, Pc clinic are as mentioned below.
| NPI Number: | 1972779916 |
| NPI Enumeration Date: | 30 Apr, 2008 |
| NPI Last Update On: | 30 Apr, 2008 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Owen Dental, Pc | General Practice Dentistry | 1093981011 |
| Russell Guymon Orthodontics, Pa | Orthodontics and Dentofacial Orthopedics | 1194097402 |
| Kevin Mudrow Dds Pllc | Dentistry | 1235565003 |
| Vernon O. Gaffner, D.m.d., P.a. | Dentistry | 1295995652 |
| Scott M. Blake, Dds, Pc | Oral and Maxillofacial Surgery | 1972779916 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Scott M. Blake, Dds, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | D3728 | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1504752 | Other | | United Concordia |
| 806657300 | Medicaid | Idaho | |
| 806720800 | Medicaid | Idaho | |
| 118557800 | Medicaid | Wyoming | |
| 000010143970 | Other | | Regence Blueshield |
| 6I468 | Other | | Federal Bxbs |
| 6M014 | Other | | Upin Blue Cross |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Scott M. Blake, Dds, Pc
333 S Woodruff Ave,
Idaho Falls, Idaho |
| Zip: | 83401-4322 |
| Phone Number: | 208-523-2160 |
Patients can reach Scott M. Blake, Dds, Pc at
333 S Woodruff Ave, Idaho Falls, Idaho or can
call to book an appointment on 208-523-2160.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.