Blake Carroll, DDS
Individual provider Active NPI Pediatric Dentistry · Richmond, VA
NPI 1821921750 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1821921750
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 0401420090 (VA)
- Practice address
- 1000 E Broad St
Richmond, VA 23219-1930 - Phone
- (804) 828-9095
- NPI assigned
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401420090 | VA | Yes |
Addresses
Primary practice location
1000 E Broad St
Richmond, VA 23219-1930
Mailing address
2320 Floyd Ave Apt a
Richmond, VA 23220-4408
Other providers in Richmond, VA
- Taylor Carrington
- Gregoria Carrion
- Aaron Michael Carroll
- Ashley Carroll
- Ashley W. Carroll
- Ciara J Carroll
- Lauren Renee Carroll
- Angela Carson
- Chris Carson
- Erin Elizabeth Carson
All providers in Richmond, VA · Pediatric Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.