Search › Missouri › 1223X0400X
Terry Blake, DDS, MSD
NPI 1003485624 · on the registry since 2021 · sole proprietor
Practice
- Address
- 225 South Main
Suite 101
O'Fallon, MO 63366 - Phone
- (636) 272-6666
- Fax
- (636) 272-6661
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri