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

Dr. Terry Michael Blake, DDS, MSD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1003485624

Dr. Terry Michael Blake, DDS, MSD is an Orthodontics and Dentofacial Orthopedics Dentistry in O Fallon, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
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.

See every abbreviation used in this directory →

Practice location Address checks out

225 S Main Ste 101
O Fallon, MO 63366
Phone: (636) 272-6666
Fax: (636) 272-6661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 011574 (MO)

Record details

NPI number1003485624
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MSD
Sole proprietorYes
NPI enumeratedJune 18, 2021
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021
Mailing address225 South Main, Suite 101, O'Fallon, MO 63366

Other providers in O Fallon