Individual provider · Type 1 NPI

Thomas R. Blake, DDS

General Practice Dentistry · Fort Wayne, IN

NPI number 1669517330 Active

Practice location

2409 Fairoak Dr
Fort Wayne, IN 46809-2301

Call (260) 747-5745 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X7973 (IN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1669517330

Thomas R. Blake, DDS's National Provider Identifier is 1669517330, issued on Feb 21, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 9, 2007.