Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE MA, DMD
ActiveBLAKE MA, DMD is a General Dentistry healthcare provider located in NORTHFORD, Connecticut. NPI 1225622830 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · NORTHFORD, CT
Registration Details
- NPI Number
- 1225622830
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2021 (5.3241995179153 yrs)
- Last Updated
- Jul 7, 2023
- License
-
13368 (CT)
Practice Information
- Address
-
1355 MIDDLETOWN AVENORTHFORD, CT, 064721382Browse CT providers · Browse ZIP 06472
- Phone
- 2034840456
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in NORTHFORD, CT
| Name | Credential | NPI |
|---|---|---|
| EFRAIN SOCARRAS | D.D.S | 1902931330 |
| DR. JOSEPH CONNOLLY | D.D.S | 1386771004 |
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.