DR. BLAKE ALEXANDER CROSBY DMD
NPI 1316539299
Dentist - Periodontics in Winter Haven, FL

Active since February 11, 2021
320 AVENUE K SE STE 1, WINTER HAVEN, FL 33880(863) 293-5099 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2024, Jul 27, 2021, Feb 11, 2021 (3 updates tracked since 2021).

About Dr. Blake Alexander Crosby Dmd NPPES

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

DR. BLAKE ALEXANDER CROSBY DMD (NPI 1316539299) is an individual periodontics provider in Winter Haven, Florida, licensed in Florida (DN26120) and active in the NPI registry since February 2021. He maintains a secondary practice location in Lakeland.

NPPES Registry Identity

NPI1316539299
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BLAKE ALEXANDER CROSBYCredential: DMD
Location Address320 AVENUE K SE STE 1Winter Haven, FL 33880-4148
Mailing Address7029 Bentridge DrLakeland, FL 33813-4008 · (863) 393-5167
Sole ProprietorNo
Enumeration DateFebruary 11, 2021
Last NPPES UpdateJuly 16, 20243 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
NPI 1316539299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in FL · DN26120
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
320 AVENUE K SE STE 1, Winter Haven, FL 33880

Secondary Practice Location 1

Location 13875 S Florida AveLakeland, FL 33813-1109 · Phone (863) 647-1515

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 Crosby's NPI number?

The NPI number for Blake Crosby is 1316539299. It was assigned to this individual provider in the NPPES registry on February 11, 2021.

Where is Blake Crosby located?

Blake Crosby practices at 320 Avenue K SE Ste 1, Winter Haven, FL 33880. The listed phone number is (863) 293-5099.

What is Blake Crosby's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Blake Crosby was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.