NPI age
19 years
Enumerated 2007-02-12
● Active
Type 1 · Individual
Scott M Blake, DDS
Blake is 1 of 1 dentist providers in Idaho Falls and 1 of 5 in Idaho.
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-10-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5 active dentist providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
333 S Woodruff Ave
Idaho Falls, ID 834014322
Mailing address
333 S Woodruff Ave
Idaho Falls, ID 834014322
Specialties
-
Dentist PrimaryThe specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010143970 | REGENCE BLUE SHIELD |
| 05 (WY) | 118557800 | |
| 01 (ID) | 1504752 | UNITED CONCORDIA |
| 01 (ID) | 6I468 | FEDERAL BLUE CROSS |
| 05 (ID) | 806657300 | |
| 05 (ID) | 806720800 |
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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