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Contact Information

ROY C BLAKE III, DDS MSD
200 BUTLER ST
SUITE 203
WEST PALM BEACH, FL33407-6036
 Phone: 561-296-3399
 Fax: 561-202-6776
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for ROY C BLAKE III · (Male)

NPI Number 1568632990
Status Active
Credentials DDS MSD
Entity Individual
Enumeration date 02/29/2008
Last updated 02/29/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # DN9551
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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