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

Dr. Roy C Blake III, DDSMSD

Individual provider Prosthodontics · NPI 1568632990

Dr. Roy C Blake III, DDSMSD is a Prosthodontics in West Palm Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

200 Butler St Ste 203
West Palm Beach, FL 33407-6036
Phone: (561) 296-3399
Fax: (561) 202-6776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence DN9551 (FL)

Record details

NPI number1568632990
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMSD
Sole proprietorYes
NPI enumeratedFebruary 29, 2008
Last updated in NPPESFebruary 29, 2008
Mailing address200 Butler St, Suite 203, West Palm Beach, FL 33407-6036

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