Richard W Blake Dds Pa is a Pediatric Dental Clinic in Jacksonville, Florida. It is located at 943 Cesery Blvd Ste D, Jacksonville, FL and its contact number is 904-743-2000. The authorized person for Richard W Blake Dds Pa is Dr. Richard Wayne Blake
who is Owner/president of the clinic and their contact number is 190-474-32000. The primary license number for Richard W Blake Dds Pa is 0005634 (Pediatric Dentistry) in Florida. Richard W Blake Dds Pa Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Richard W Blake Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Richard Wayne Blake
Position:
Owner/president
Contact Number:
190-474-32000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Richard W Blake Dds Pa clinic are as mentioned below.
NPI Number:
1558701177
NPI Enumeration Date:
27 Jun, 2013
NPI Last Update On:
27 Jun, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard W Blake Dds Pa are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
0005634
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
074223600
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Richard W Blake Dds Pa 943 Cesery Blvd Ste D, Jacksonville, Florida
Zip:
32211-5655
Phone Number:
904-743-2000
Fax Number:
904-744-0598
Patients can reach Richard W Blake Dds Pa at 943 Cesery Blvd Ste D, Jacksonville, Florida or can call to book an appointment on 904-743-2000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.