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Dr. Blake James Willoughby II, DDS
General Practice Dentistry in Palm Beach Gardens, Florida
NPI 1043772742

Blake James Willoughby II is a General Practice Dentistry based in Tequesta, FL and is specialized in General Practice. Blake James Willoughby II practices in Palm Beach Gardens, FL and has the professional credentials of DDS. The NPI Number for Blake James Willoughby II is 1043772742 and holds a License No. (Florida).

The current practice location address for Blake James Willoughby II is 3400 Burns Rd Ste 100, Palm Beach Gardens, FL and can be reached out via phone at 561-627-2122.

Location: 3400 Burns Rd Ste 100, Palm Beach Gardens, FL, 33469-2125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043772742
Provider Name
Blake James Willoughby II
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3400 Burns Rd Ste 100, Palm Beach Gardens, FL, 33469-2125
Phone Number
561-627-2122
Fax Number
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3400 Burns Rd Ste 100
City
Palm Beach Gardens
State
Florida
Zip
33410-4352
Phone Number
561-627-2122
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Burns Rd Ste 100
City
Palm Beach Gardens
State
Florida
Zip
33410-4352
Phone Number
561-627-2122
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN24534 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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