BLAKE DREW DMD, PC (NPI# 1295247674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295247674 |
| Entity Type | Organization |
| Organization Name | BLAKE DREW DMD, PC |
| Other Organization Name | DREW FAMILY DENTISTRY |
| Practice Address |
2215 Nw Shevlin Park Rd Ste 110 Bend OR 97703-7195 |
| Mailing Address |
2323 Nw High Lakes Loop Bend OR 97703-7056 |
| Practice Telephone | 5416103270 |
| Practice Fax Number | 5412792356 |
| Mailing Telephone | 9712266029 |
| Mailing Fax Number | 5412792356 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Authorized Official Name | BLAKE B DREW (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9712266029 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D9366 | OR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Drew Family Dentistry | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BLAKE DREW DMD, PC | 2215 Nw Shevlin Park Rd Ste 110, Bend, OR 97703 |
| Street Address |
2215 NW SHEVLIN PARK RD STE 110 |
| City | BEND |
| State | OR |
| Zip Code | 97703-7195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205092954 | Blake Brandt Drew | Dentist | 2215 Nw Shevlin Park Rd Ste 110, Bend, OR 97703-7108 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790201846 | Amberena Louise Fairlee | Dentist | 499 Sw Upper Terrace Dr Ste B, Bend, OR 97702-1582 | 2017-08-21 |
| 1225401052 | Mirror Pond Dental, LLC | Dentist | 102 Nw Newport Ave, Bend, OR 97703-1838 | 2015-11-02 |
| 1336577824 | Dr Dondo Dental Excellence LLC | Dentist | 1725 Sw Chandler Ave Ste 100, Bend, OR 97702-3248 | 2013-10-22 |
| 1588098917 | Jared R Adams | Dentist | 775 Sw Bonnett Way, Ste 100, Bend, OR 97702-2080 | 2013-08-21 |
| 1194165878 | Eric Noland Alston | Dentist | 62968 O B Riley Rd Ste 12, Bend, OR 97703 | 2013-06-26 |
| 1023252384 | Robert Harold Hodgert | Dentist | 2445 Ne Division St, Suite 106, Bend, OR 97701-3571 | 2009-04-29 |
| 1205092954 | Blake Brandt Drew | Dentist | 2215 Nw Shevlin Park Rd Ste 110, Bend, OR 97703-7108 | 2008-08-01 |
| 1073770764 | Jack Randolph Miller | Dentist | 2078 Ne Professional Ct, Bend, OR 97701-6077 | 2008-05-20 |
| 1164601738 | Benjamin David Crockett | Dentist | 344 Ne Marshall Ave, Bend, OR 97701-4346 | 2007-10-30 |
| 1912113838 | Virginia Kay Murtaugh | Dentist | 1510 Sw Nancy Way, Suite #2, Bend, OR 97702-3256 | 2007-05-15 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.