Richard W Blake DDS PA
NPI 1558701177ActiveOrganization· Dentist, Pediatric Dentistry· Jacksonville, FL
Dentist, Pediatric Dentistry in Jacksonville, Florida, registered in NPPES in June 2013. The authorized official on file is Richard Wayne Blake, DDS, Owner/President.
Overview
| NPI | 1558701177 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2013 |
| Last updated in NPPES | Jun 27, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 0005634 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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