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Dr. Terry Michael Blake, DDS,MSD
Orthodontics and Dentofacial Orthopedic Dentist in O'fallon, Missouri
NPI 1003485624

Terry Michael Blake is a Orthodontics and Dentofacial Orthopedic Dentist based in O'fallon, MO and is specialized in Orthodontics and Dentofacial Orthopedics. Terry Michael Blake practices in O'fallon, MO and has the professional credentials of DDS,MSD. The NPI Number for Terry Michael Blake is 1003485624 and holds a License No. 011574 (Missouri).

The current practice location address for Terry Michael Blake is 225 South Main, O'fallon, MO and can be reached out via phone at 636-272-6666 and via fax at 636-272-6661.

Location: 225 South Main, O'fallon, MO, 63366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003485624
Provider Name
Terry Michael Blake
Credential
DDS,MSD
Provider Entity Type
Individual
Gender
Male
Address
225 South Main, O'fallon, MO, 63366
Phone Number
636-272-6666
Fax Number
636-272-6661
Provider Enumeration Date
06/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
225 South Main
City
O'fallon
State
Missouri
Zip
63366
Phone Number
636-272-6666
Fax Number
636-272-6661
person
Provider Business Mailing Address Details
Address
225 South Main
City
O'fallon
State
Missouri
Zip
63366
Phone Number
636-272-6666
Fax Number
636-272-6661
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
011574 (Missouri)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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