H.C. Blake, III D.D.S. PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NC5127 Issued in NC

Legal business name

H.C. BLAKE, III D.D.S. PA

Practice address

1802A New Hanover Medical Park Dr
Wilmington, NC 28403-5350

Phone

(910) 762-8245

Fax

(910) 763-2093

NPI assigned

May 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Henry Christopher Blake III, D.D.S.NPI 1821012535

Title

President

Phone

(910) 762-8245

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Christopher Blake III, DDS

  • General Practice Dentistry
  • Wilmington, NC
  • NPI 1821012535
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780899500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802A NEW HANOVER MEDICAL PARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035350",
            "telephone_number": "910-762-8245",
            "fax_number": "910-763-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802A NEW HANOVER MEDICAL PARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035350",
            "telephone_number": "910-762-8245",
            "fax_number": "910-763-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.C. BLAKE, III D.D.S. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-762-8245",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC5127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990804",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Watson Guthmann, IBCLC
• Rebecca Ann Guy, FNP
• Lindsey Michelle Guyton, LCMHC
• Gwen Borcyk, MSW, LCSW, PLLC
• H.a. Nicholson III
• H.E.R (Here Everyone Restores Counseling & Wellness PLLC
• Jennifer Golden Haag, MD
• Kristi Washington Haas
• Julie Ann Hackmann, L.AC.
• Stephanie Gray Hackney, D.D.S. , P.A.

• General Practice Dentistry in Wilmington, NC
• Providers in Wilmington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.