IndividualActive
Blake Hauer, DMD
NPI 1831803592 · Periodontics · Hollywood, FL
Provider details
- NPI number
- 1831803592
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN26880 (FL)
Specialties & taxonomies
Dental Providers
Practice location
4350 Sheridan St Ste 201d
Hollywood, FL 33021-3556
Phone: (954) 981-0012
Approximate (ZIP-level) locationGet directions
Mailing address
4350 Sheridan St Ste 201d
Hollywood, FL 33021-3556
Registry dates
- Enumerated
- 2023-01-09
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.