DR. TERRY BLAKE, DDS, MSD
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1003485624
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | 011574 (MO) |
Frequently Asked Questions
NPI 1003485624 is the National Provider Identifier for DR. TERRY BLAKE, DDS, MSD, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in O'fallon, MO. This NPI was enumerated on June 18, 2021.
DR. TERRY BLAKE, DDS, MSD practices at 225 SOUTH MAIN, SUITE 101, O'fallon, MO 63366.
Quick Facts
- NPI
- 1003485624
- Type
- Individual
- Enumerated
- Jun 18, 2021
- Last Updated
- Jun 18, 2021
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