MEDICARE: DR. BLAKELY NOEL POND 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	122300000X	Dentist	14478	NC

General Provider Information

NPI Number	:	1891312088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BLAKELY NOEL POND DDS

Provider Business Mailing Address
First Line	:	120 WALDEN RD
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-8782
Country	:	US
Telephone Number	:	615-423-6153
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 PROFESSIONAL CIR
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4302
Country	:	US
Telephone Number	:	252-726-2360
Fax Number	:

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

Provider Enumeration Date	:	07/03/2020
Last Update Date	:	03/23/2026

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