Blake Higgins DDS PLLC
Organization Active NPI Pediatric Dentistry · Edwards, CO
NPI 1013681741 · NPPES record last updated Sep 17, 2021
Key facts
- NPI
- 1013681741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- BLAKE HIGGINS DDS PLLC
- Practice address
- 105 Edwards Village Blvd Unit 202
Edwards, CO 81632-3211 - Phone
- (970) 926-8486
- NPI assigned
- Aug 5, 2021
- Organization subpart
- No
Authorized official
- Name
- Thomas Blake Higgins, DDS
- Title
- Owner
- Phone
- (970) 390-4662
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
105 Edwards Village Blvd Unit 202
Edwards, CO 81632-3211
Mailing address
2055 Vermont Rd
Vail, CO 81657-3802
Phone (970) 390-4662
Other names
- Mountain Valley Kids Dental
Other providers in Edwards, CO
- Melvin Francis Betancourt
- Better Health Global LLC
- Kala Bettis
- Alton Corder Bishop
- Catherine Black
- David Blanchard
- Dorothy Winslow Blankenship
- Lauren M. Bonati
- Diana Bonilla-Hueston
- Kelly Bossola
All providers in Edwards, CO · Pediatric Dentistry in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.