DR. SUSAN ELIZABETH BLAKE (NPI# 1669694253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669694253 |
| Entity Type | Individual |
| Full Name | DR. SUSAN ELIZABETH BLAKE |
| Credential | DMD |
| Practice Address |
Fluvanna Correctional Center Route 250 East Troy VA 22974 |
| Mailing Address |
852 Jefferson Dr E Palmyra VA 22963-3302 |
| Practice Telephone | 4349843700 |
| Practice Fax Number | 4349845574 |
| Mailing Telephone | 4345910168 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401008275 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720127855 | Susan D Blake | Counselor | 3650 Morris Farm Dr, 3b, Greensboro, NC 27409-8944 | 2007-02-05 |
| 1831295419 | Susan Rhodes Blake | Counselor | 4067 Broadway St, San Antonio, TX 78209-6313 | 2006-09-15 |
| 1215387212 | Susan Blake | Occupational Therapist | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2016-06-21 |
| 1447663737 | Susan Blake | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2014-06-04 |
| 1053479428 | Susan A Blake | Social Worker | 2020 Brown St, Anderson, IN 46016-4218 | 2006-12-05 |
| 1811963705 | Susan F Blake | Optometrist | 2216 Lincoln Way E, Massillon, OH 44646-7062 | 2006-02-28 |
| Street Address |
FLUVANNA CORRECTIONAL CENTER ROUTE 250 EAST |
| City | TROY |
| State | VA |
| Zip Code | 22974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804685 | Kelly N Lofton | Nurse Practitioner | 144 Prison Ln, Troy, VA 22974 | 2019-11-01 |
| 1508381229 | Christopher Jordan Filipkowski | Specialist/Technologist | 570 Buck Branch Drive, Troy, VA 22974 | 2017-08-03 |
| 1285852640 | Beverly Rosser | Nurse Practitioner | Route 250 West Box 1000, Troy, VA 22974 | 2007-04-23 |
| 1295783165 | Alisa S Williams | Psychiatry & Neurology | 144 Prison Lane, Mental Health, Troy, VA 22974 | 2006-05-04 |
| 1629623731 | Sarah Martina | Nurse Practitioner | 144 Prison Lane, Troy, VA 22974 | 2019-08-06 |
| 1699179572 | Sinan Kamal | General Practice | 144 Prison Lane, Troy, VA 22974 | 2014-10-21 |
| 1437277530 | Nancy Lynne Mayer | Family Medicine | 144 Prison Lane, Troy, VA 22974 | 2007-03-27 |
| 1497262117 | Tia A Jones-mitchell | Nurse Practitioner | Po Box 1000, Troy, VA 22974-1000 | 2018-01-03 |
| 1861935025 | Barbara Blair | Counselor | 10046 Three Notch Rd, Troy, VA 22974-2811 | 2016-11-21 |
| 1649831157 | Dhakar Family Dentistry | Dentist | 10046 Three Notch Rd, Troy, VA 22974-2811 | 2019-06-25 |
| Find all providers in zip 22974 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954550 | Lane and Associates Xxxvii Dds Pa | Dentist | 473 Woods Street, Troy, NC 27371 | 2020-02-14 |
| 1962051292 | Simon Park | Dentist | 172 W Wattles Rd, Troy, MI 48098-4685 | 2019-09-09 |
| 1255985289 | Zackery Ethan Eades | Dentist | 98 Oak Park Dr, Troy, AL 36079-3085 | 2019-07-29 |
| 1386298461 | Michelle Mari Szewczyk | Dentist | 755 W Big Beaver Rd Ste 250, Troy, MI 48084-4903 | 2019-07-28 |
| 1801449079 | Daniel Brystowski | Dentist | 650 E Big Beaver Rd Ste D, Troy, MI 48083-1432 | 2019-07-17 |
| 1275093247 | Kevin P Hagood | Dentist | 2480 Crooks Rd Apt 3, Troy, MI 48084-5530 | 2019-03-25 |
| 1942784418 | Dr. Mark B. Beard Dds, Inc | Dentist | 102 E Walnut St, Troy, KS 66087-5006 | 2018-09-20 |
| 1285120071 | Stephen Charles Degenhardt | Dentist | 2877 Crooks Rd Ste A, Troy, MI 48084-4717 | 2018-07-05 |
| 1093238966 | Yousif Gagi | Dentist | 525 E Big Beaver Rd Ste 110, Troy, MI 48083-1365 | 2017-07-21 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.