DR. THOMAS R BLAKE DDS
NPI 1669517330
Dentist - General Practice in Fort Wayne, IN

Active since February 21, 2007
2409 FAIROAK DR, FORT WAYNE, IN 46809(260) 747-5745 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas R Blake Dds NPPES

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

DR. THOMAS R BLAKE DDS (NPI 1669517330) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (7973) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1669517330
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS R BLAKECredential: DDS
Location Address2409 FAIROAK DRFort Wayne, IN 46809-2301
Mailing Address2409 Fairoak DrFort Wayne, IN 46809-2301 · (260) 747-5745
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1669517330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 7973
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.

2409 FAIROAK DR, Fort Wayne, IN 46809

Other Identifiers 2

Other777279IN · United Concordia
Other1091IN · Php

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist
2409 FAIROAK DR
FORT WAYNE, IN 46809
Dentist (General Practice)
2409 FAIROAK DR
FORT WAYNE, IN 46809
Clinic/Center (Dental)
2409 FAIROAK DR
FORT WAYNE, IN 46809

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 Thomas Blake's NPI number?

The NPI number for Thomas Blake is 1669517330. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Thomas Blake located?

Thomas Blake practices at 2409 Fairoak Dr, Fort Wayne, IN 46809. The listed phone number is (260) 747-5745.

What is Thomas Blake's specialty?

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

What insurance does Thomas Blake accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 7 other insurers list Thomas Blake 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 Thomas Blake was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.