Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Kunimoto, DDS

Individual provider Dentist · NPI 1205056207

Blake Kunimoto, DDS is a Dentist in Springfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3124 Montvale Dr
Springfield, IL 62704-6937
Phone: (217) 546-8777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019025927 (IL)

Record details

NPI number1205056207
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3807 Wexford Dr, Springfield, IL 62704-6715

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