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

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNC10725 (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.

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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.