SearchWisconsinGeneral Practice Dentistry

Christopher Blake, DDS

NPI 1831499532 · on the registry since 2010 · sole proprietor

Practice

Address
17280 W North Ave
Suite 102
Brookfield, WI 53045
Phone
(262) 789-9200
Fax
(262) 789-9213
Organisation at this address
Tmns, Llc
Healthstat Inc
Aurora Pharmacy Inc
Lifetime Ob/Gyn, Ltd.
Dr Christopher Blake Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
193

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-10-27

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 Wisconsin