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Deactivated NPI 1841380060 Deactivated / Inactive NPI Male Practitioner

Dr. Warren William Blake , DDS

Dentist - General Practice • Brewster, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Warren Blake has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 16, 2006
NPI Deactivation Date June 14, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Warren Blake, DDS was a registered Dentist - General Practice practicing in Brewster, MA. Throughout an active medical career spanning 17 years, Dr. Blake provided care at the practice location at 66 HARWICH ROAD until profile deactivation on 2023-06-14.

Practice Location & Contact Primary Location

Practice Address

66 Harwich Road

Brewster, MA 026311838

Telephone 5088966458
Fax 5088965353

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brewster, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Brewster, MA (3722 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN12933

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 14, 2023

Record deactivated on June 14, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 66 HARWICH ROAD, BREWSTER, MA 026311838 (Tel: 5088966458)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 848, BREWSTER, MA 026311838 (Tel: 5088966458)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WARREN BLAKE, DDS

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

Dentist (License #DN12933 in MA)

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Initial NPI Registration & Enumeration October 16, 2006

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: 1841380060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2006
Last Update: July 08, 2007
Deactivation Date: June 14, 2023

Mailing Address

Po Box 848

Brewster, MA 026311838

Phone: 5088966458

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.