Dr. Thomas R Blake , DDS
Dentist - General Practice • Fort Wayne, IN
Professional Overview & Biography Verified Profile Summary
Dr. Thomas Blake, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Wayne, IN. Practice services are available at 2409 FAIROAK DR under active NPI credentials.
Practice Location & Contact Primary Location
2409 Fairoak Dr
Fort Wayne, IN 468092301
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Fort Wayne, IN
Practicing in Fort Wayne, IN (2204 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
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Dentist
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 2409 FAIROAK DR, FORT WAYNE, IN 468092301 (Tel: 2607475745)
Registered at 2409 FAIROAK DR, FORT WAYNE, IN 468092301 (Tel: 2607475745)
Recorded as THOMAS BLAKE, DDS
Dentist (License #7973 in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2409 Fairoak Dr
Fort Wayne, IN 468092301
Phone: 2607475745
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