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Dr. Thomas R Blake, DDS
General Practice Dentistry in Fort Wayne, Indiana
NPI 1669517330

Thomas R Blake is a General Practice Dentistry based in Fort Wayne, IN and is specialized in General Practice. Thomas R Blake practices in Fort Wayne, IN and has the professional credentials of DDS. The NPI Number for Thomas R Blake is 1669517330 and holds a License No. 7973 (Indiana).

The current practice location address for Thomas R Blake is 2409 Fairoak Dr, Fort Wayne, IN and can be reached out via phone at 260-747-5745. You can also correspond with Thomas R Blake through the mailing address at 2409 FAIROAK DR, FORT WAYNE, IN - 46809-2301 (mailing address contact number: 260-747-5745).

Location: 2409 Fairoak Dr, Fort Wayne, IN, 46809-2301
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Provider Profile Details
NPI Number
1669517330
Provider Name
Thomas R Blake
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2409 Fairoak Dr, Fort Wayne, IN, 46809-2301
Phone Number
260-747-5745
Fax Number
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
777279 01 IN UNITED CONCORDIA
1091 01 IN PHP
institution
Provider Business Practice Location Address Details
Address
2409 Fairoak Dr
City
State
Zip
46809-2301
Phone Number
260-747-5745
Fax Number
person
Provider Business Mailing Address Details
Address
2409 Fairoak Dr
City
State
Zip
46809-2301
Phone Number
260-747-5745
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
7973 (Indiana)
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.
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