Individual
BLAKE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4105 BRIARGATE PKWY STE 240, COLORADO SPRINGS, CO 80920-7844
(719) 434-1584
Mailing address
4105 BRIARGATE PKWY STE 240, COLORADO SPRINGS, CO 80920-7844
(719) 434-1584
(719) 313-9387
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN.00205868
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2018
Last updated
04/20/2026
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