Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Robert Edward Blake, DDS, MS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1407864440

Dr. Robert Edward Blake, DDS, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
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

104 N Park Dr
Fayetteville, GA 30214-1645
Phone: (770) 461-9931
Fax: (770) 461-9176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 7991 (GA)

Record details

NPI number1407864440
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESJuly 8, 2007
Mailing address104 N Park Dr, Fayetteville, GA 30214-1645

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