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

Dr. Carl Thomas Drake, DDS, MS

Individual provider Dentist · NPI 1124227228

Dr. Carl Thomas Drake, DDS, MS is a Dentist in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

310 Susan Dr Ste 1
Normal, IL 61761-6206
Phone: (309) 808-0054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.027428 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 021.002368 (IL)

Record details

NPI number1124227228
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorNo
NPI enumeratedJuly 17, 2007
Last updated in NPPESMay 27, 2011
Mailing address310 Susan Drive, Suite 1, Normal, IL 61761

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