Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr Christopher Blake SC

Organization Dentist · NPI 1386783488

Dr Christopher Blake SC provides Dentist services in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
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Practice location Address checks out

17280 W North Ave Ste #102
Brookfield, WI 53045-4336 Not confirmed with CMS for 16 years — call before visiting
Phone: (262) 789-9200
Fax: (262) 789-9213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5002097015 (WI)

Record details

NPI number1386783488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Blake — Dentist President Of Service Corpor · (262) 789-9200
NPI enumeratedFebruary 5, 2007
Last updated in NPPESOctober 27, 2010
Mailing address17280 W North Ave, Suite #102, Brookfield, WI 53045-4336

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