DR. ROBERT EDWARD BLAKE D.D.S.,M.S.
NPI 1407864440
Dentist - Orthodontics and Dentofacial Orthopedics in Fayetteville, GA

Active since August 04, 2006
104 N PARK DR, FAYETTEVILLE, GA 30214(770) 461-9931(770) 461-9176 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Edward Blake D.d.s.,m.s. NPPES

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

DR. ROBERT EDWARD BLAKE D.D.S.,M.S. (NPI 1407864440) is an individual orthodontics and dentofacial orthopedics provider in Fayetteville, Georgia, licensed in Georgia (7991) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1407864440
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. ROBERT EDWARD BLAKECredential: D.D.S.,M.S.
Location Address104 N PARK DRFayetteville, GA 30214-1645
Mailing Address104 N Park DrFayetteville, GA 30214-1645 · (770) 461-9931 · Fax (770) 461-9176
Fax(770) 461-9176
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1407864440 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 GA · 7991
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.
104 N PARK DR, Fayetteville, GA 30214

Other Providers at the Same Location NPPES

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

Physician Assistant
104 N PARK DR
FAYETTEVILLE, GA 30214

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 Robert Blake's NPI number?

The NPI number for Robert Blake is 1407864440. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Robert Blake located?

Robert Blake practices at 104 N Park Dr, Fayetteville, GA 30214. The listed phone number is (770) 461-9931.

What is Robert Blake's specialty?

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

When was this NPI record last updated?

The NPPES record for Robert Blake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.