Search › Indiana › General Practice Dentistry
Thomas Blake, DDS
NPI 1669517330 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2409 Fairoak Dr
Fort Wayne, IN 46809 - Phone
- (260) 747-5745
- Organisation at this address
- Jsbc Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
- Status
- Not present in the most recent federal file
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 Indiana