RICHARD W BLAKE DDS PA is a pediatric dentistry dentist in Jacksonville, FL. The provider is 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. RICHARD W BLAKE DDS PA NPI is 1558701177. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
943 CESERY BLVD STE D
JACKSONVILLE, FL
ZIP 32211-655
Phone: (904) 743-2000
Fax: (904) 744-0598
The provider's authorized official is Richard Wayne Blake .
The authorized official title is Owner/president and has the following contact phone number 19047432000.
The enumeration date for this NPI number is 6/27/2013 and was last updated on 6/27/2013.