Provider Demographics
NPI:1932160520
Name:TURNER, BLAKE HOBART (DDS)
Entity Type:Individual
Prefix:DR
First Name:BLAKE
Middle Name:HOBART
Last Name:TURNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 GRAYLYN DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516
Mailing Address - Country:US
Mailing Address - Phone:619-871-7303
Mailing Address - Fax:919-537-3407
Practice Address - Street 1:149 BRAUER HL
Practice Address - Street 2:CAMPUS BOX 7450
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7450
Practice Address - Country:US
Practice Address - Phone:919-537-3721
Practice Address - Fax:919-537-3407
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0135311223S0112X
NC098831223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery