Blake, Melissa Kathleen

Blake, Melissa Kathleen is an individual health care provider with primary practice located at 1924 Route 70 E , Cherry Hill NJ 08003. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is her primary health care specialty. Blake, Melissa Kathleen can be contacted via phone (856) 783-0444.

Contact Information

Primary practice address
1924 Route 70 E Cherry Hill NJ 08003
Phone: (856) 783-0444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X NC10725 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 22DI02767300 New Jersey

Profile Details

NPI number 1801275946
LBN Legal business name Blake, Melissa Kathleen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2015
Last updated Jul 17th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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