Dr. Richard Wayne Blake
DDS PA | Pediatric Dentist
2701 Park Dr, Suite #1, Clearwater
Florida, 33763-1021
727-796-2187 727-791-7660
Maps & DirectionsDr. Richard Wayne Blake is a Clearwater, Florida based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Richard Wayne Blake is
0005634 for Pediatric Dentistry in Florida. His current practice location is
2701 Park Dr, Suite #1, Clearwater. Patients can reach him at
727-796-2187.
Dr. Richard Wayne Blake 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 Profile:
Dr. Richard Wayne Blake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Richard Wayne Blake |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS PA |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2701 Park Dr, Suite #1, Clearwater,
Florida, 33763-1021 |
| Phone: | 727-796-2187 |
| Fax: | 727-791-7660 |
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 are as mentioned below.
| NPI Number: | 1912921867 |
| NPI Enumeration Date: | 26 Jul, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Richard Wayne Blake are as mentioned below.
| License Number | Specialization | State | Status | |
| 0005634 | Pediatric Dentistry | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Richard Wayne Blake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 074223600 | Medicaid | Florida | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2701 Park Dr, Suite #1
Clearwater, Florida |
| Zip: | 33763-1021 |
| Phone Number: | 727-796-2187 |
| Fax Number: | 727-791-7660 |
Patients can reach Dr. Richard Wayne Blake at
2701 Park Dr, Suite #1, Clearwater, Florida or can
call to book an appointment on 727-796-2187.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.