Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861510570 Individual Practitioner Male Practitioner

Dr. John L. Blake , DDS

Dentist • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Dr. John Blake, DDS is a registered healthcare professional specializing in Dentist in Long Beach, CA. Practice services are available at 455 E COLUMBIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

455 E Columbia St

Long Beach, CA 908061620

Telephone 5629338929
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
142 Specialists

Practicing in Long Beach, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 36731

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
NPI 1174717862

Doctor of Medicine (M.D.)

Dr. Thomas Chang , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1184812190

Doctor of Dental Surgery, Master of Science

NPI 1184814758

Doctor of Osteopathic Medicine (D.O.)

Dr. Chi Lok Tiffany Chan , DDS

Dentist - Pediatric Dentistry

NPI 1205401866

Doctor of Dental Surgery

Vouchmeng Sieng

Community Health Worker

NPI 1265793798
Dr. Mark Dressner , MD

Family Medicine - Adult Medicine

NPI 1306942073

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 455 E COLUMBIA ST, LONG BEACH, CA 908061620 (Tel: 5629338929)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4556 EAST COLUMBIA ST., LONG BEACH, CA 90806 (Tel: 5629338929)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN BLAKE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #36731 in CA)

🟢
Initial NPI Registration & Enumeration March 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861510570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4556 East Columbia St.

Long Beach, CA 90806

Phone: 5629338929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.