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

Dr. Richard Wayne Blake, DDSPA

Individual provider Pediatric Dentistry · NPI 1912921867

Dr. Richard Wayne Blake, DDSPA is a Pediatric Dentistry in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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Practice location Address checks out

2701 Park Dr Ste #1
Clearwater, FL 33763-1021
Phone: (727) 796-2187
Fax: (727) 791-7660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 0005634 (FL)

Record details

NPI number1912921867
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSPA
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 9, 2007
Mailing address2701 Park Dr, Suite #1, Clearwater, FL 33763-1021

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