J.BLAKE PERKINS D.D.S. P.S. NPI 1568912426

NPI Information

  • NPI: 1568912426
  • Provider Name: J.BLAKE PERKINS D.D.S. P.S.
  • Classification: Dentist - 122300000X
  • Entity Type: Organization
  • Doing Business As: NEW IMAGE DENTISTRY
  • Address: 811 NE 112TH AVE
    SUITE 100
    VANCOUVER, WA
    ZIP 98684
  • Phone: (360) 604-7151

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NPI Details

J.BLAKE PERKINS D.D.S. P.S. is a dentist in Vancouver, WA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. J.BLAKE PERKINS D.D.S. P.S. NPI is 1568912426. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As New Image Dentistry.

The provider's business location address is:

811 NE 112TH AVE
SUITE 100
VANCOUVER, WA
ZIP 98684-115
Phone: (360) 604-7151
Fax: (360) 597-4562

The provider's authorized official is Justin Blake Perkins .
The authorized official title is Owner/dentist and has the following contact phone number (360) 604-7151.

The enumeration date for this NPI number is 10/4/2016 and was last updated on 10/4/2016.

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
1122300000XDentistDE00008724WASHINGTONYes

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
11104084276OTHERDME ONLY FOR MEDICARE

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: 11/21/2025

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