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)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 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.
Practice location
943 Cesery Blvd Ste D
Jacksonville, FL 32211-5655
Phone: (904) 743-2000
Fax: (904) 744-0598
Street-level locationGet directions
Mailing address
943 Cesery Blvd Ste D
Jacksonville, FL 32211-5655
Registry dates
- 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.