PATRICIA BLAKE DDS NPI 1568473312

NPI Information

  • NPI: 1568473312
  • Provider Name: PATRICIA BLAKE, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 1421 MALABAR RD NE
    SUITE 240
    PALM BAY, FL
    ZIP 32907
  • Phone: (321) 722-8440

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NPI Details

Patricia Blake, DDS is a general practice dentist in Palm Bay, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Patricia Blake, DDS NPI is 1568473312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1421 MALABAR RD NE
SUITE 240
PALM BAY, FL
ZIP 32907-576
Phone: (321) 722-8440

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN15937FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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