| Dr Thomas R Blake, DDS | |
|
2409 Fairoak Dr, Fort Wayne, IN 46809-2301 | |
| (260) 747-5745 | |
| Not Available |
| Full Name | Dr Thomas R Blake |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2409 Fairoak Dr, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669517330 | NPI | - | NPPES |
| 777279 | Other | IN | UNITED CONCORDIA |
| 1091 | Other | IN | PHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7973 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas R Blake, DDS 2409 Fairoak Dr, Fort Wayne, IN 46809-2301 Ph: (260) 747-5745 | Dr Thomas R Blake, DDS 2409 Fairoak Dr, Fort Wayne, IN 46809-2301 Ph: (260) 747-5745 |
Dr. Bryan David Braasch, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6821 Woodcrest Dr, Fort Wayne, IN 46815 Phone: 260-417-4981 | |
Dr. Bryan Mcguigan Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5108 N Clinton St, Fort Wayne, IN 46825 Phone: 260-482-1551 Fax: 260-484-4537 | |
James A Shupe Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Lake Ave, Suite 15, Fort Wayne, IN 46805 Phone: 260-422-8419 Fax: 260-422-3591 | |
Dr. Roger Paul Valliere, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1330 E State Blvd, Fort Wayne, IN 46805 Phone: 260-484-5614 | |
Dr. Lora Wonderly, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4616 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-8596 | |
Dr. Allison Bergdoll, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 E Dupont Rd, Suite D, Fort Wayne, IN 46825 Phone: 260-490-3554 | |
Matthew Gotsch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 919 Florence Ave, Fort Wayne, IN 46808 Phone: 260-632-8486 |