Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295353480 Individual Practitioner Male Practitioner

Dr. Blake Christopher Roberts , DDS

Dentist - General Practice • Neosho, MO

Professional Overview & Biography Verified Profile Summary

Dr. Blake Roberts, DDS is a registered healthcare professional specializing in Dentist - General Practice in Neosho, MO. Practice services are available at 1112 BAXTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1112 Baxter St

Neosho, MO 648507814

Telephone 4174512403
Associated Practice Facility / Clinic
🏢 Jon L Reagan Dds Pc Facility NPI 1609753862

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Neosho, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Neosho, MO (2113 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: 2020-07-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2020021104

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. Jon Reagan , DDS

Dentist - General Practice

NPI 1073545919

Doctor of Dental Surgery

NPI 1841641560

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2020

Registered at 1112 BAXTER ST, NEOSHO, MO 648507814 (Tel: 4174512403)

📍
Updated Business Mailing Address July 14, 2020

Registered at 1551 HALE MCGINTY DR, NEOSHO, MO 648507814 (Tel: 4174341203)

👤
Provider Name / Credentials Updated July 14, 2020

Recorded as BLAKE ROBERTS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2020

Dentist (License #2020021104 in MO)

🟢
Initial NPI Registration & Enumeration July 14, 2020

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: 1295353480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2020
Last Update: July 14, 2020
Sole Proprietor: No

Mailing Address

1551 Hale Mcginty Dr

Neosho, MO 648507814

Phone: 4174341203

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.