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NPI 1316539299

IndividualActive

Blake Crosby, DMD

NPI 1316539299 · Periodontics · Winter Haven, FL

Provider details

NPI number: 1316539299
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: DN26120 (FL)

Practice location

320 Avenue K Se Ste 1

Winter Haven, FL 33880-4148

Phone: (863) 293-5099

More FL providers

Mailing address

7029 Bentridge Dr

Lakeland, FL 33813-4008

Registry dates

Enumerated: 2021-02-11
Last updated: 2024-07-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Blake Crosby, DMD — NPI 1316539299, Winter Haven, FL | NPI Central