Individual
BLAKE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2500 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-6464
(702) 649-2789
Mailing address
3345 SOLENTO LN, HENDERSON, NV 89044-1735
(702) 860-8781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8416
NV
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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