IndividualActive
Ernest Blake, Jr, DDS
NPI 1821178070 · Dentist · Perry, FL
Provider details
- NPI number
- 1821178070
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DN-12127 (FL)
Specialties & taxonomies
Dental Providers
Practice location
409 E Ash St
Perry, FL 32347-2104
Phone: (850) 223-2578
Fax: (850) 223-3047
Approximate (ZIP-level) locationGet directions
Mailing address
535 John Knox Rd
Tallahassee, FL 32303-4117
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2009-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.