M. CLARK BLANCHARD DDS PLLC NPI 1407953862

NPI Information

  • NPI: 1407953862
  • Provider Name: M. CLARK BLANCHARD DDS PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 4301 FACTORIA BLVD SE
    SUITE A
    BELLEVUE, WA
    ZIP 98006
  • Phone: (425) 641-8600

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NPI Details

M. CLARK BLANCHARD DDS PLLC is a general practice dentist in Bellevue, WA. 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. M. CLARK BLANCHARD DDS PLLC NPI is 1407953862. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4301 FACTORIA BLVD SE
SUITE A
BELLEVUE, WA
ZIP 98006-982
Phone: (425) 641-8600
Fax: (425) 641-7730

The provider's authorized official is Milton Clark Blanchard .
The authorized official title is Owner and has the following contact phone number (425) 641-8600.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

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 Practice6195WASHINGTONYes

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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