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

Blake Wilcox, DMD

Individual provider Dentist · NPI 1205753217

Blake Wilcox, DMD is a Dentist in North las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2026
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

2500 E Lake Mead Blvd
North las Vegas, NV 89030-6464
Phone: (702) 649-2789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8416 (NV)

Record details

NPI number1205753217
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 1, 2026
Last updated in NPPESJuly 1, 2026
Certification dateJune 29, 2026

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