Individual provider · Type 1 NPI
George Dale Blake Jr., DDS
General Practice Dentistry · Runaway Bay, TX
NPI number
1720081268
Active
Practice location
229 Half Moon Way
Runaway Bay, TX 76426-9773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 8400 (TX) |
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.
About NPI 1720081268
George Dale Blake Jr., DDS's National Provider Identifier is 1720081268, issued on May 30, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Runaway Bay, TX. The record was last updated on Jul 8, 2007.