DR. RICHARD WAYNE BLAKE (NPI# 1912921867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912921867 |
| Entity Type | Individual |
| Full Name | DR. RICHARD WAYNE BLAKE |
| Credential | DDS PA |
| Practice Address |
2701 Park Dr Suite #1 Clearwater FL 33763-1021 |
| Practice Telephone | 7277962187 |
| Practice Fax Number | 7277917660 |
| Mailing Telephone | 7277962187 |
| Mailing Fax Number | 7277917660 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0005634 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 074223600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174650071 | Richard Gary Blake | Technician/Technologist | 21835 Ventura Blvd, Woodland Hills, CA 91364-1838 | 2007-02-27 |
| 1972666774 | Richard Daniel Blake | Chiropractor | 8 Glen Road, Powerhouse Mall, W Lebanon, NH 03784 | 2006-12-19 |
| 1740235829 | Richard W. Blake | Physician Assistant | 3600 E Wickersham Way, Wasilla, AK 99654 | 2006-05-24 |
| 1295358356 | Richard Andrew Blake | Pharmacist | 800 Glenwood Ave Se, Atlanta, GA 30316-1814 | 2020-05-24 |
| 1699702308 | Richard Alan Blake | Internal Medicine | 1401 Harrodsburg Rd, Suite A-300, Lexington, KY 40504-3751 | 2006-06-27 |
| 1770559924 | Richard Lawrence Blake | Podiatrist | 900 Hyde St, San Francisco, CA 94109-4806 | 2006-02-27 |
| Street Address |
2701 PARK DR SUITE #1 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33763-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104802206 | John Savidakis Jr.,p.a. | Podiatrist | 2701 Park Dr, Suite 6, Clearwater, FL 33763-1021 | 2005-12-20 |
| 1659576601 | Stacie Leclair | Dentist | 2701 Park Dr, Suite 6, Clearwater, FL 33763-1021 | 2007-06-19 |
| 1518176999 | Jonathan J. Bromboz, Dds, Pa | Clinic/Center | 2701 Park Dr, Suite 4, Clearwater, FL 33763-1021 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205201613 | Joshua Roop | Counselor | 2725 Park Dr Ste 2f, Clearwater, FL 33763 | 2015-12-10 |
| 1093184863 | Anthony Joe Adams | Dentist | 25877 Us Highway 19 N, Clearwater, FL 33763 | 2015-09-22 |
| 1568893840 | Shawna Byrd | Counselor | 2725 Park Dr Ste 2e, Clearwater, FL 33763 | 2013-12-11 |
| 1265670178 | Clearwater Chiropractic Center LLC | Chiropractor | 25400 Us Highway 19 North, Suite 112, Clearwater, FL 33763 | 2009-01-30 |
| 1447472667 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2555 Enterprise Road, Suite 3, Clearwater, FL 33763 | 2007-05-03 |
| 1376679464 | Mary Ellen Baker-gayne | Counselor | 2555 Enterprise Rd., Ste. 2, Clearwater, FL 33763 | 2007-02-26 |
| 1669524708 | Robert Steven Colen | Counselor | 24761 Us 19 North, Ste 680, Clearwater, FL 33763 | 2007-01-17 |
| 1780758037 | Diana Lynn Summers Denta | Social Worker | 24761 Us Hwy 19 N, Suite 680, Clearwater, FL 33763 | 2006-11-20 |
| 1891808952 | Cynthia Douglas Lewis | Chiropractor | 24945 Us 19 N, Clearwater, FL 33763 | 2006-08-15 |
| 1285641084 | David P Crowley | Chiropractor | 24945 Us Hwy 19 N, Clearwater, FL 33763 | 2006-08-02 |
| Find all providers in zip 33763 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407378342 | Yarbrough & Larkin Orthodontics, LLC | Dentist | 2424 Enterprise Rd Ste B, Clearwater, FL 33763-1704 | 2017-07-12 |
| 1164645784 | Donna L Nichols | Dentist | 3005 Enterprise Rd E, Clearwater, FL 33759-1304 | 2007-04-11 |
| 1427615608 | Florida Pediatric Dental Associates Pllc | Dentist | 1433 Court St, Clearwater, FL 33756-6146 | 2019-05-23 |
| 1396302485 | All Smiles Pediatric Dentistry Pllc | Dentist | 1433 Court St, Clearwater, FL 33756-6146 | 2019-05-23 |
| 1992020986 | William L. Kochenour D.d.s.,m.s. | Dentist | 3005 Enterprise Rd E, Clearwater, FL 33759-1304 | 2010-04-01 |
| 1316074479 | Drs. Howell, Whitehead and Associates, Pa | Dentist | 707 Druid Rd E, Clearwater, FL 33756-3951 | 2007-02-27 |
| 1174668008 | Billy Gene Whitehead Jr. | Dentist | 707 Druid Rd E, Clearwater, FL 33756-3951 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113296 | Pediatric Dental Center of Gardens Inc | Dentist | 18244 Nw 27th Ave, Miami Gardens, FL 33056-3501 | 2020-10-27 |
| 1205446598 | Harp Pediatric Dentistry | Dentist | 31067 Us Highway 19 N, Palm Harbor, FL 34684-4416 | 2020-08-03 |
| 1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
| 1710595509 | Bright Smiles Pediatric Dentistry Nassau LLC | Dentist | 960135 Gateway Blvd, Fernandina Beach, FL 32034-9120 | 2020-07-17 |
| 1578180097 | Juliana Grace Fitzgerald | Dentist | 7505 Grand Lely Dr Bldg 1, Naples, FL 34113-1753 | 2020-06-30 |
| 1861012569 | Toni-marie Small | Dentist | 12625 76th Rd N, West Palm Beach, FL 33412-2259 | 2020-04-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1114573086 | Kids Dentist LLC | Dentist | 8058 W Mcnab Rd, North Lauderdale, FL 33068-4254 | 2019-08-15 |
| 1558915157 | Dentistry for Children of Florida, Pllc | Dentist | 3021 Airport Rd N Ste 203, Naples, FL 34105-3077 | 2019-07-31 |
| 1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33763 |
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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.