Blake D. Boleware, DMD, MS
Orthodontics · Ridgeland, MS
UnclaimedDMD, MSNPI 1881200673
- Primary taxonomy
- 1223X0400X
- Enumerated
- 2020-09-17
- Practice location
- Ridgeland, MS
- Last NPPES update
- 2023-08-14
State licenses
- MS · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.