DR. Blake R. Henry, D.D.S., M.S.D.

NPI #1124199807 in Tulsa, Oklahoma

Provider Information

NPI Number: 1124199807
Entity Type: Individual
Name: DR. Blake R. Henry, D.D.S., M.S.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: D.D.S., M.S.D.
Enumeration Date: Nov 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7705 E 81ST ST
City: Tulsa
State: Oklahoma
ZIP Code: 74133-4200
Phone: (918) 294-7705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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