Active NPIIndividual providerSole proprietor

Dr. Robert A Blake, DDS

Dentist, General Practice in Beverly, Massachusetts

NPI Number1356442446
Practice location
50 West St, Beverly, MA 01915-2228
Fax
978-927-7686
Last updated
July 8, 2007

Robert A Blake is a Dentist, General Practice based in Beverly, MA. Robert A Blake practices in Beverly, MA and has the professional credentials of DDS. The NPI Number for Robert A Blake is 1356442446 and holds a License No. 14749 (MA). The current practice location address for Robert A Blake is 50 West St, Beverly, MA 01915-2228 and can be reached out via phone at 978-927-3515 and via fax at 978-927-7686.

Provider Profile Details

NPI Number
1356442446
Provider Name
Robert A Blake
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
50 West St, Beverly, MA 01915-2228
Phone Number
978-927-3515
Fax Number
978-927-7686
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
September 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 West St
Beverly, MA 01915-2228
Zip
01915-2228
Phone Number
978-927-3515
Fax Number
978-927-7686
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
3 Lanthorn Ln
Beverly, MA 01915-4721
City
Beverly
State
MA
Zip
01915-4721
Phone Number
978-927-7686

License Information

License Number
14749
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Robert A Blake, DDS?

The NPI number of Dr. Robert A Blake, DDS is 1356442446. It was assigned on September 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Robert A Blake, DDS?

Dr. Robert A Blake, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 14749.

Where does Dr. Robert A Blake, DDS practice?

The practice location is 50 West St, Beverly, MA 01915-2228. The office can be reached at 978-927-3515 (phone) or 978-927-7686 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356442446 directly on the NPPES registry website.

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