MEDICARE: BLAKE DREW DMD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D9366	OR

General Provider Information

NPI Number	:	1295247674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLAKE DREW DMD, PC

Provider Business Mailing Address
First Line	:	2323 NW HIGH LAKES LOOP
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-7056
Country	:	US
Telephone Number	:	971-226-6029
Fax Number	:	541-279-2356

Provider Business Practice Location Address
First Line	:	2215 NW SHEVLIN PARK RD STE 110
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-7195
Country	:	US
Telephone Number	:	541-610-3270
Fax Number	:	541-279-2356

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	BLAKE B DREW
Credential	:	DMD
Telephone Number	:	971-226-6029

Provider Enumeration Date	:	10/25/2017
Last Update Date	:	10/25/2017

Similar Medicare Providers

1225285109 — BREANNA LOREEN PERCELL MD
Practice Location Address:

2215 NW SHEVLIN PARK RD STE 100
BEND, OR
97703-7195

Practice Phone: 541-389-7741
Practice Fax: 541-278-8375

1558628669 — MARY JOYCE CAMPOS WOODY AU.D.
Practice Location Address:

2205 NW SHEVLIN PARK RD
BEND, OR
97703-7195

Practice Phone: 541-678-5698
Practice Fax:

1306224761 — SARAH BUTTS PA-C
Practice Location Address:

2255 NW SHEVLIN PARK RD STE B
BEND, OR
97703-7195

Practice Phone: 541-706-3819
Practice Fax: 541-429-6659

1558719369 — DOUGLAS VANGORDON
Practice Location Address:

2245 NW SHEVLIN PARK RD
BEND, OR
97703-7195

Practice Phone: 541-382-3344
Practice Fax:

1225488786 — DR. IAN ODGEAR AU.D.
Practice Location Address:

2205 NW SHEVLIN PARK RD
BEND, OR
97703-7195

Practice Phone: 541-678-5698
Practice Fax:

1689191298 — NEUROMUSCULOSKELETAL CENTER OF THE CASCADES PC
Practice Location Address:

2245 NW SHEVLIN PARK RD
BEND, OR
97703-7195

Practice Phone: 541-382-3344
Practice Fax: 541-382-1681

Directions to “BLAKE DREW DMD, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.