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

Blake MA, DMD

Individual provider General Practice Dentistry · NPI 1225622830

Blake MA, DMD is a General Practice Dentistry in Northford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2021.

Licensed in
CT
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1355 Middletown Ave
Northford, CT 06472-1382
Phone: (203) 484-0456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 13368 (CT)

Record details

NPI number1225622830
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 24, 2021
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023
Mailing address22 Latham Rd, Willington, CT 06279-1914

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