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Scott M. Blake, DDS, PC

Oral and Maxillofacial Surgery (Dentist) in Idaho Falls, ID · enumerated 2008 · authorized official Elaine Schmidt, Receptionist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972779916

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Registry record

Entity type Organization (Type 2)
Legal business name Scott M. Blake, DDS, PC
Practice address 333 S Woodruff Ave, Idaho Falls, ID, 83401
Enumeration date Apr 30, 2008
Last updated in NPPES Apr 30, 2008

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License D3728 (ID) Primary

Authorized official

Name Elaine Schmidt
Title Receptionist

Other identifiers

Identifier Type State Issuer
1504752 Other - UNITED CONCORDIA
806657300 Medicaid ID -
806720800 Medicaid ID -
118557800 Medicaid WY -
000010143970 Other - REGENCE BLUESHIELD
6I468 Other - FEDERAL BXBS
6M014 Other - UPIN BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Scott M. Blake, DDS, PC?
Scott M. Blake, DDS, PC is registered in NPPES as a Oral and Maxillofacial Surgery (Dentist) (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-30.