DR. TERRY MICHAEL BLAKE DDS, MSD
NPI 1003485624
Dentist - Orthodontics and Dentofacial Orthopedics in O'fallon, MO

Active since June 18, 2021
225 SOUTH MAIN, SUITE 101, O'FALLON, MO 63366(636) 272-6666(636) 272-6661 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Terry Michael Blake Dds, Msd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TERRY MICHAEL BLAKE DDS, MSD (NPI 1003485624) is an individual orthodontics and dentofacial orthopedics provider in O'fallon, Missouri, licensed in Missouri (011574) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1003485624
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. TERRY MICHAEL BLAKECredential: DDS, MSD
Location Address225 SOUTH MAIN, SUITE 101O'fallon, MO 63366
Mailing Address225 South Main, Suite 101O'fallon, MO 63366 · (636) 272-6666 · Fax (636) 272-6661
Fax(636) 272-6661
Sole ProprietorYes
Enumeration DateJune 18, 2021
NPPES CertifiedJune 18, 2021
NPI 1003485624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MO · 011574
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
225 SOUTH MAIN, O'fallon, MO 63366

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terry Blake's NPI number?

The NPI number for Terry Blake is 1003485624. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Terry Blake located?

Terry Blake practices at 225 South Main Suite 101, O'fallon, MO 63366. The listed phone number is (636) 272-6666.

What is Terry Blake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Terry Blake accept?

Health plans from Florida Combined Life list Terry Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Terry Blake was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.