BLAKE ALLEN DICKENS D.M.D. NPI 1154852697

NPI Information

  • NPI: 1154852697
  • Provider Name: BLAKE ALLEN DICKENS, D.M.D.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 3817 FAIRVIEW DR
    OWENSBORO, KY
    ZIP 42303
  • Phone: (270) 993-4076

Map and Directions

Get Directions

NPI Details

Blake Allen Dickens, D.M.D. is a pediatric dentistry dentist in Owensboro, KY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Blake Allen Dickens, D.M.D. NPI is 1154852697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3817 FAIRVIEW DR
OWENSBORO, KY
ZIP 42303-117
Phone: (270) 993-4076

The enumeration date for this NPI number is 3/26/2017 and was last updated on 2/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice30.025303OHIONo
21223P0221XDentistPediatric Dentistry9952KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100568370MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI