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MELVYN A BLAKE DDS PC
NPI 1215940150
Dentist - Oral and Maxillofacial Surgery in Marlton, NJ

Active since August 14, 2006
600 STATE HWY 73 NORTH, SUITE 9A, MARLTON, NJ 08053(856) 596-1460(856) 596-1085 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Melvyn A Blake Dds Pc NPPES

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

MELVYN A BLAKE DDS PC (NPI 1215940150) is a healthcare organization registered as an oral and maxillofacial surgery in Marlton, New Jersey and active in the NPI registry since August 2006. The organization lists Melvyn Arnold Blake, Owner, as its authorized official.

NPPES Registry Identity

NPI1215940150
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMELVYN A BLAKE DDS PC
Location Address600 STATE HWY 73 NORTH, SUITE 9AMarlton, NJ 08053
Mailing Address600 State Hwy 73 North, Suite 9aMarlton, NJ 08053 · (856) 596-1460 · Fax (856) 596-1085
Phone(856) 596-1460
Fax(856) 596-1085
Organization SubpartNo
Authorized OfficialMelvyn Arnold BlakeOwner · (856) 596-1460
Enumeration DateAugust 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215940150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NJ · 22DI00895300NJ
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
600 STATE HWY 73 NORTH, Marlton, NJ 08053
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Melvyn A Blake Dds PC's NPI number?

The NPI number for Melvyn A Blake Dds PC is 1215940150. It was assigned to this organization in the NPPES registry on August 14, 2006.

Where is Melvyn A Blake Dds PC located?

Melvyn A Blake Dds PC is located at 600 State Hwy 73 North Suite 9A, Marlton, NJ 08053. The listed phone number is (856) 596-1460.

What is Melvyn A Blake Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Melvyn A Blake Dds PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.