Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134618796 Individual Practitioner Male Practitioner

Dr. Blake Alan Weil , DMD

Dentist - General Practice • New Haven, IN

Professional Overview & Biography Verified Profile Summary

Dr. Blake Weil, DMD is a registered healthcare professional specializing in Dentist - General Practice in New Haven, IN. Practice services are available at 982 KOEHLINGER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

982 Koehlinger Dr

New Haven, IN 467741712

Telephone 2607483696
Associated Practice Facility / Clinic
🏢 J Paul Downie Dds Pc Facility NPI 1336300532

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in New Haven, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
3 Specialists

Practicing in New Haven, IN (2204 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: 2022-07-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12012948A

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Jasper Downie , DDS

Dentist - General Practice

NPI 1215091236

Doctor of Dental Surgery

Dr. William Downie , DDS

Dentist - General Practice

NPI 1922394113

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location July 28, 2022

Registered at 982 KOEHLINGER DR, NEW HAVEN, IN 467741712 (Tel: 2607483696)

📍
Updated Business Mailing Address July 28, 2022

Registered at 4619 ABOITE LAKE DR, FORT WAYNE, IN 468044022 (Tel: 2602850858)

📍
Updated Practice Location June 12, 2018

Registered at 4626 W JEFFERSON BLVD, FORT WAYNE, IN 46804 (Tel: 2604320561)

📍
Updated Business Mailing Address June 12, 2018

Registered at 1150 EWING ST APT 302, FORT WAYNE, IN 468023367 (Tel: 2603578407)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2018

Dentist (License #12012948A in IN)

NPI Profile Active May 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2018

Registered at 4626 W JEFFERSON BLVD, FORT WAYNE, IN 468046897 (Tel: 2604320561)

📍
Updated Business Mailing Address May 08, 2018

Registered at 513 N BROBST RD, WOODBURN, IN 467979547 (Tel: 2603578407)

👤
Provider Name / Credentials Updated May 08, 2018

Recorded as BLAKE WEIL, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 08, 2018

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: 1134618796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2018
Last Update: July 28, 2022
Sole Proprietor: No

Mailing Address

4619 Aboite Lake Dr

Fort Wayne, IN 468044022

Phone: 2602850858

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.