Individual provider · Type 1 NPI

Richard Wayne Blake, DDS PA

Pediatric Dentistry · Clearwater, FL

NPI number 1912921867 Active

Practice location

2701 Park Dr, Suite #1
Clearwater, FL 33763-1021

Call (727) 796-2187 Map

Fax (727) 791-7660

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X0005634 (FL)

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 1912921867

Richard Wayne Blake, DDS PA's National Provider Identifier is 1912921867, issued on Jul 26, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Clearwater, FL. The record was last updated on Jul 9, 2007.