What is Richard W Blake DDS PA's NPI number?

Richard W Blake DDS PA's National Provider Identifier (NPI) is 1558701177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Richard W Blake DDS PA?

Richard W Blake DDS PA is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).

Where is Richard W Blake DDS PA located?

Richard W Blake DDS PA's practice location on file with NPPES is 943 Cesery Blvd Ste D, Jacksonville, FL 32211-5655.

What is Richard W Blake DDS PA's phone number?

The practice phone number listed in the NPPES registry for Richard W Blake DDS PA is (904) 743-2000.

Who is the authorized official for Richard W Blake DDS PA?

The authorized official listed on Richard W Blake DDS PA's NPPES record is Richard Blake, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Richard W Blake DDS PA's NPI active?

Yes — Richard W Blake DDS PA's NPI (1558701177) is active in the NPPES registry as of the last update on 2013-06-27.

OrganizationActive

Richard W Blake DDS PA

NPI 1558701177 · Pediatric Dentistry · Jacksonville, FL

Richard W Blake DDS PA is a Pediatric Dentistry organization in Jacksonville, FL (NPI 1558701177).

Provider details

NPI number: 1558701177
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Organization subpart: No
Authorized official: Richard Blake, Owner/President(904) 743-2000
License: 0005634 (FL)

Practice location

943 Cesery Blvd Ste D

Jacksonville, FL 32211-5655

Phone: (904) 743-2000

Fax: (904) 744-0598

Street-level locationGet directions

More FL providers

Mailing address

943 Cesery Blvd Ste D

Jacksonville, FL 32211-5655

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense 0005634 (FL)
Dental Providers

Profile Score

Detailed profile(78/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2013-06-27
Last updated: 2013-06-27

Frequently asked questions

What is Richard W Blake DDS PA's NPI number?: Richard W Blake DDS PA's National Provider Identifier (NPI) is 1558701177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Richard W Blake DDS PA?: Richard W Blake DDS PA is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
Where is Richard W Blake DDS PA located?: Richard W Blake DDS PA's practice location on file with NPPES is 943 Cesery Blvd Ste D, Jacksonville, FL 32211-5655.
What is Richard W Blake DDS PA's phone number?: The practice phone number listed in the NPPES registry for Richard W Blake DDS PA is (904) 743-2000.
Who is the authorized official for Richard W Blake DDS PA?: The authorized official listed on Richard W Blake DDS PA's NPPES record is Richard Blake, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Richard W Blake DDS PA's NPI active?: Yes — Richard W Blake DDS PA's NPI (1558701177) is active in the NPPES registry as of the last update on 2013-06-27.

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

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions