Dr. Thomas R Blake is a Fort Wayne, Indiana based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Thomas R Blake is 7973 for General Practice Dentistry in Indiana. His current practice location is 2409 Fairoak Dr, Fort Wayne. Patients can reach him at 260-747-5745.
Dr. Thomas R Blake is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Thomas R 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. Thomas R Blake
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2409 Fairoak Dr, Fort Wayne, Indiana, 46809-2301
Phone:
260-747-5745
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:
1669517330
NPI Enumeration Date:
21 Feb, 2007
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. Thomas R Blake are as mentioned below.
License Number
Specialization
State
Status
7973
General Practice Dentistry
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Thomas R Blake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
777279
Other
Indiana
UNITED CONCORDIA
1091
Other
Indiana
PHP
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2409 Fairoak Dr, Fort Wayne, Indiana
Zip:
46809-2301
Phone Number:
260-747-5745
Patients can reach Dr. Thomas R Blake at 2409 Fairoak Dr, Fort Wayne, Indiana or can call to book an appointment on 260-747-5745. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.