Melissa Kathleen Blake, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

NC10725 Issued in NC

Practice address

3154 S Church St
Burlington, NC 27215-9114

Phone

(336) 524-5439

NPI assigned

May 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melissa Blake DMD, PLLC (Dba Everlasting Light Pediatric Dentistry)

  • Pediatric Dentistry
  • Greensboro, NC
  • NPI 1356257109
  Authorized official Same address or phone
• Dr. Cameron & Associates of Winston-Salem, PLLC

  dba Merhoff & Associates Pediatric Dentistry

  • Pediatric Dentistry
  • Winston Salem, NC
  • NPI 1750114302
  NPD (past)
• Tina S. Merhoff, DDS, PA

  • Pediatric Dentistry
  • Winston Salem, NC
  • NPI 1649427089
  NPD (past)
• Holdbrook Pediatric Dental, LLC

  • Pediatric Dentistry
  • Swedesboro, NJ
  • NPI 1679811129
  NPD (past)

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1801275946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 FLEETWOOD CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064253",
            "telephone_number": "774-251-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159114",
            "telephone_number": "336-524-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "MELISSA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "NC10725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Crain Blackwell
• Robin Newby Blackwell
• Blackwell's Community Living
• Blackwell's Community Living LLC
• Blackwell's Community Living LLC
• Nathaniel Allen Blake, CFBPPC, LCAS
• Linda Blalock, OTR/L
• Meredith Rae Blanton, MSW
• Ashley-Marie Amaya Bledsoe
• Debbie M Blitch, APRN

• Pediatric Dentistry in Burlington, NC
• Providers in Burlington, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.