Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
104 N PARK DR
FAYETTEVILLE, GA 30214-1645 US

Robert Edward Blake

Dentist (Orthodontics and Dentofacial Orthopedics)


Robert Edward Blake

Overview

Robert Edward Blake is a Dentist (Orthodontics and Dentofacial Orthopedics) in the FAYETTEVILLE area. Robert Edward Blake primary office location is at 104 N PARK DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1407864440 and the information was updated approximately 18 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
104 N PARK DR
FAYETTEVILLE, GA 30214-1645 US
Phone: (770)-461-9931
Fax:
Practice Mailing Information
104 N PARK DR
FAYETTEVILLE, GA 30214-1645 US
Phone: (770)-461-9931
Fax: (770)-461-9176
License NumberState
7991GA