Robert Blake, D.D.S.,M.S

NPI 1407864440 · on the registry since 2006 · sole proprietor

Practice

Address: 104 N Park Dr
Fayetteville, GA 30214
Phone: (770) 461-9931
Fax: (770) 461-9176
Organisation at this address: Orthoxpress Of Georgia
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Georgia