Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.