Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Blake Daniel Entralgo, DMD

Individual provider Dentist · NPI 1194002196

Dr. Blake Daniel Entralgo, DMD is a Dentist in Marlton, New Jersey. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2011
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

560A Lippincott Dr Bldg B
Marlton, NJ 08053
Phone: (856) 985-1800
Fax: (856) 985-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2d Denbn/Ndc 315 McHugh Blvd, Camp Lejeune, NC 28542-0130 — (910) 451-2208

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI02666400 (NJ)

Record details

NPI number1194002196
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 4, 2011
Last updated in NPPESMay 3, 2018
Mailing address560a Lippincott Drive, Bldg B, Marlton, NJ 08053

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