Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT EDWARD BLAKE, D.D.S.,M.S.
Active Sole ProprietorDR. ROBERT EDWARD BLAKE, D.D.S.,M.S. is a Orthodontics healthcare provider located in FAYETTEVILLE, Georgia. NPI 1407864440 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1407864440
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2006 (19.994380037745 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7991 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 N PARK DRFAYETTEVILLE, GA, 302141645Browse GA providers · Browse ZIP 30214
- Phone
- 7704619931
- Fax
- 7704619176
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. ANTHONY G DELUKE | DDS | 1548370224 |
| MICHAEL W GRANGER | DMD | 1992864375 |
| DR. JULIAN CHRISTOPHER WHITE | DDS | 1932378817 |
| DR. YI-PING LIU | D.D.S. | 1205074754 |
| SYDNEY J SIMPSON | DMD | 1528310729 |
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.