Individual provider · Type 1 NPI
Melissa Kathleen Blake, D.M.D
Pediatric Dentistry · Burlington, NC
NPI number
1801275946
Active
Practice location
3154 S Church St
Burlington, NC 27215-9114
Mailing address
4834 Fleetwood Cir
Winston Salem, NC 27106-4253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | NC10725 (NC) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Burlington
About NPI 1801275946
Melissa Kathleen Blake, D.M.D's National Provider Identifier is 1801275946, issued on May 21, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Burlington, NC. The record was last updated on Aug 17, 2026.