Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043772742 Individual Practitioner Male Practitioner

Dr. Blake James Willoughby , DDS

Dentist - General Practice • Palm Beach Gardens, FL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Blake Willoughby, DDS is a registered healthcare professional specializing in Dentist - General Practice in Palm Beach Gardens, FL. Official NPI practice address is registered at 3400 BURNS RD STE 100.

Practice Location & Contact Primary Location

Practice Address

3400 Burns Rd Ste 100

Palm Beach Gardens, FL 334104352

Telephone 5616272122
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Palm Beach Gardens, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Palm Beach Gardens, FL (7473 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

CMS Verified: 2023-03-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN24534

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1104501949

Doctor of Dental Surgery

Dr. Steve Blechman , DMD

Dentist - General Practice

NPI 1104947399

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 07, 2023

Registered at 3400 BURNS RD STE 100, PALM BEACH GARDENS, FL 334104352 (Tel: 5616272122)

📍
Updated Business Mailing Address March 07, 2023

Registered at 63 HICKORY HILL RD, TEQUESTA, FL 334692125 (Tel: 6362363177)

👤
Provider Name / Credentials Updated March 07, 2023

Recorded as BLAKE WILLOUGHBY, DDS

NPI Profile Active April 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2019

Registered at 1601 SW ARCHER RD, GAINESVILLE, FL 326081135 (Tel: 3523761611)

📍
Updated Business Mailing Address April 02, 2019

Registered at 4522 FRANCIS ST, KANSAS CITY, KS 661033535 (Tel: 6362363177)

👤
Provider Name / Credentials Updated April 02, 2019

Recorded as BLAKE WILLOUGHBY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 02, 2019

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: 1043772742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2019
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

63 Hickory Hill Rd

Tequesta, FL 334692125

Phone: 6362363177

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.