DR. BLAKE PATRICK NELSON D.D.S. NPI 1336692060

NPI Information

  • NPI: 1336692060
  • Provider Name: DR. BLAKE PATRICK NELSON, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 3066 TRENWEST DR
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (828) 455-0952

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NPI Details

DR. Blake Patrick Nelson, D.D.S. is a general practice dentist in Winston Salem, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Blake Patrick Nelson, D.D.S. NPI is 1336692060. 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:

3066 TRENWEST DR
WINSTON SALEM, NC
ZIP 27103-208
Phone: (828) 455-0952

The enumeration date for this NPI number is 7/29/2016 and was last updated on 7/21/2022.

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 Practice30.025179OHIONo
21223G0001XDentistGeneral Practice10894NORTH CAROLINAYes

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

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