Dr George Dale Blake Jr, DDS is a
Dentist - General Practice based in Runaway Bay, Texas. Dr George Dale Blake Jr is licensed to practice in Texas (license number 8400) and his current practice location is
229 Half Moon Way, Runaway Bay, Texas. He can be reached at his office (for appointments etc.) via phone at
(940) 575-4185.
NPI number for Dr George Dale Blake Jr is 1720081268 and his current mailing address is 229 Half Moon Way, Runaway Bay, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720081268.
Healthcare Provider's Profile
Full Name | Dr George Dale Blake Jr |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 229 Half Moon Way, Runaway Bay, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720081268
- Provider Enumeration Date: 05/30/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr George Dale Blake Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720081268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 8400 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr George Dale Blake Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr George Dale Blake Jr, DDS 229 Half Moon Way, Runaway Bay, TX 76426-9773 Ph: (940) 575-4185 | Dr George Dale Blake Jr, DDS 229 Half Moon Way, Runaway Bay, TX 76426-9773 Ph: (940) 575-4185 |
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