Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MELISSA BLAKE DMD, PLLC (DBA EVERLASTING LIGHT PEDIATRIC DENTISTRY)
NPI 1356257109
Dentist - Pediatric Dentistry in Greensboro, NC

Q: What is Melissa Blake Dmd, PLLC (dba Everlasting Light Pediatric Dentistry)'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since August 21, 2026

2970 MEARNS CASTLE DRIVE, SUITE 101, GREENSBORO, NC 27405(336) 364-5223 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Melissa Blake Dmd, Pllc (dba Everlasting Light Pediatric Dentistry) NPPES

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

MELISSA BLAKE DMD, PLLC (DBA EVERLASTING LIGHT PEDIATRIC DENTISTRY) (NPI 1356257109) is a healthcare organization registered as a pediatric dentistry in Greensboro, North Carolina and active in the NPI registry since August 2026. The organization lists Melissa Blake, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1356257109

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMELISSA BLAKE DMD, PLLC (DBA EVERLASTING LIGHT PEDIATRIC DENTISTRY)

Location Address2970 MEARNS CASTLE DRIVE, SUITE 101Greensboro, NC 27405

Mailing Address2970 Mearns Castle Drive, Suite 101Greensboro, NC 27405 · (774) 251-1137

Phone(336) 364-5223

Organization SubpartNo

Authorized OfficialMelissa BlakePediatric Dentist · (336) 364-5223

Enumeration DateAugust 21, 2026

NPPES CertifiedAugust 17, 2026

✔ NPI 1356257109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2970 MEARNS CASTLE DRIVE, Greensboro, NC 27405

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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 Melissa Blake Dmd, PLLC (dba Everlasting Light Pediatric Dentistry)'s NPI number?

The NPI number for Melissa Blake Dmd, PLLC (dba Everlasting Light Pediatric Dentistry) is 1356257109. It was assigned to this organization in the NPPES registry on August 21, 2026.

Where is Melissa Blake Dmd, PLLC (dba Everlasting Light Pediatric Dentistry) located?

Melissa Blake Dmd, PLLC (dba Everlasting Light Pediatric Dentistry) is located at 2970 Mearns Castle Drive Suite 101, Greensboro, NC 27405. The listed phone number is (336) 364-5223.

What is Melissa Blake Dmd, PLLC (dba Everlasting Light Pediatric Dentistry)'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Melissa Blake Dmd, PLLC (dba Everlasting Light Pediatric Dentistry) was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.