Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TERRY MICHAEL BLAKE, DDS, MSD
Active Sole ProprietorDR. TERRY MICHAEL BLAKE, DDS, MSD is a Orthodontics healthcare provider located in O'FALLON, Missouri. NPI 1003485624 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · O'FALLON, MO
Registration Details
- NPI Number
- 1003485624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2021 (5.1107158574106 yrs)
- Last Updated
- Jun 18, 2021
- License
-
011574 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
225 SOUTH MAINSUITE 101O'FALLON, MO, 63366Browse MO providers · Browse ZIP 63366
- Phone
- 6362726666
- Fax
- 6362726661
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in O'FALLON, MO
| Name | Credential | NPI |
|---|---|---|
| PADMINI R MUDDASANI | DDS, MS | 1659486249 |
| DR. DIDEM O INCE | DDS MS PHD | 1841311560 |
| JACOB SCOTT BLEYER | DMD, MS | 1861912891 |
| ERIN CORSI FRAUNDORF | DMD, MS | 1972079556 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.