MEDICARE: DR. MARY BLAKELEY DDS

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	7608	CO

General Provider Information

NPI Number	:	1821184821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY BLAKELEY DDS

Provider Business Mailing Address
First Line	:	9400 STATION ST
Second Line	:	SUITE 175
City	:	LONE TREE
State	:	CO
Zip	:	80124-6808
Country	:	US
Telephone Number	:	303-779-2797
Fax Number	:	303-779-2687

Provider Business Practice Location Address
First Line	:	9400 STATION ST
Second Line	:	SUITE 175
City	:	LONE TREE
State	:	CO
Zip	:	80124-6808
Country	:	US
Telephone Number	:	303-779-2797
Fax Number	:	303-779-2687

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	09/26/2014

Similar Medicare Providers

1992195267 — ALPHA DENTAL CARE V PC
Practice Location Address:

9400 STATION ST , STE 175
LONE TREE, CO
80124-6808

Practice Phone: 303-779-2797
Practice Fax: 303-779-2687

1265804355 — NEO KIDS DENTISTRY & THE NEW ORTHODONTICS
Practice Location Address:

9400 STATION ST , SUITE 100
LONE TREE, CO
80124-6808

Practice Phone: 303-690-0400
Practice Fax:

1033561642 — HOLLY BALLER DDS
Practice Location Address:

9400 STATION ST
LONE TREE, CO
80124-6808

Practice Phone: 303-690-0400
Practice Fax:

1093716425 — DR. MICHELLE SANCHO OD
Practice Location Address:

9400 STATION ST , SUITE 150
LONETREE, CO
80124-6808

Practice Phone: 303-925-0075
Practice Fax: 303-925-0079

1902807332 — DR. JEFFREY CRAIG MARLATT OD
Practice Location Address:

9400 STATION ST , SUITE 150
LONETREE, CO
80124-6808

Practice Phone: 303-925-0075
Practice Fax: 303-925-0079

1326268921 — PARKRIDGE VISION SPECIALISTS, PC
Practice Location Address:

9400 STATION ST , SUITE 150
LONETREE, CO
80124-6808

Practice Phone: 303-925-0075
Practice Fax: 303-925-0079

Directions to “ DR. MARY BLAKELEY DDS” 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.