Individual
DR. ALAN MAX BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 N 9TH ST, ESTHERVILLE, IA 51334-1534
(712) 362-5454
(712) 362-4737
Mailing address
808 N 9TH ST, ESTHERVILLE, IA 51334-1534
(712) 362-5454
(712) 362-4737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06008
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052308
—
IA
01
—
06008
STATE DENTAL LICENSE
IA
Enumeration date
01/23/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us