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Search › Missouri › Orthodontics and Dentofacial Orthopedics Dentistry

Terry Blake, DDS, MSD

NPI 1003485624 · on the registry since 2021 · sole proprietor

Practice

Address
225 South Main
Suite 101
O'Fallon, MO 63366
Phone
(636) 272-6666
Fax
(636) 272-6661

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri