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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD W BLAKE DDS PA

Active Organization

RICHARD W BLAKE DDS PA is a Pediatric Dentistry organization located in JACKSONVILLE, Florida. NPI 1558701177 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · JACKSONVILLE, FL

Registration Details

NPI Number
1558701177
Provider Type
Organization
NPI Issued
Jun 27, 2013 (13.143449612295 yrs)
Last Updated
Jun 27, 2013
License
0005634 (FL)

Practice Information

Address
943 CESERY BLVD STE D
JACKSONVILLE, FL, 322115655
Browse FL providers · Browse ZIP 32211
Phone
9047432000
Fax
9047440598
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Organizations in JACKSONVILLE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.