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DR. BLAKE JAMES WILLOUGHBY II DDS
NPI 1043772742
Dentist - General Practice in Palm Beach Gardens, FL

Active since April 02, 2019
3400 BURNS RD STE 100, PALM BEACH GARDENS, FL 33410(561) 627-2122 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Apr 2, 2019 (2 updates tracked since 2019).

About Dr. Blake James Willoughby Ii Dds NPPES

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

DR. BLAKE JAMES WILLOUGHBY II DDS (NPI 1043772742) is an individual general practice provider in Palm Beach Gardens, Florida, licensed in Florida (DN24534) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1043772742
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BLAKE JAMES WILLOUGHBY IICredential: DDS
Location Address3400 BURNS RD STE 100Palm Beach Gardens, FL 33410-4352
Mailing Address63 Hickory Hill RdTequesta, FL 33469-2125 · (636) 236-3177
Phone(561) 627-2122
Sole ProprietorYes
Enumeration DateApril 2, 2019
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1043772742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN24534
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3400 BURNS RD STE 100, Palm Beach Gardens, FL 33410
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CALVIN KALER DDS
Dentist
3400 BURNS RD STE 100
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 627-2122
ADVANCED DENTAL CARE OF PALM BEACH GARDENS
Clinic/Center (Dental)
3400 BURNS RD STE 100
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 627-2122

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 Blake Willoughby's NPI number?

The NPI number for Blake Willoughby is 1043772742. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Blake Willoughby located?

Blake Willoughby practices at 3400 Burns Rd Ste 100, Palm Beach Gardens, FL 33410. The listed phone number is (561) 627-2122.

What is Blake Willoughby's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Blake Willoughby accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Blake Willoughby 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 Blake Willoughby was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.