Robert Edward Blake, D.D.S.,M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Fayetteville, GA
Robert Edward Blake, D.D.S.,M.S. is an orthodontics and dentofacial orthopedics dentistry with a practice address in Fayetteville, Georgia, and NPI 1407864440, issued on Aug 4, 2006. Check the license (Georgia 7991, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Robert Edward Blake
- Credential
- D.D.S.,M.S.
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License number
- 7991 GA
Self-reported in NPPES; status is on the state search - Practice location
- 104 N Park Dr, Fayetteville, GA 30214
- Phone
- (770) 461-9931
- Enumerated
- Aug 4, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (770) 461-9176
- Entity
- Type 1 · individual
8 nearest orthodontics and dentofacial orthopedics dentistry records → All 347 in Georgia → Look up another NPI →
Also registered at 104 N Park Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jacob WallisPhysician Assistant1568118172
Verify Robert Edward Blake in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 7991Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Robert Edward Blake among 347 orthodontics and dentofacial orthopedics dentistry records in Georgia
Robert Edward Blake, D.D.S.,M.S. is one of 347 orthodontics and dentofacial orthopedics dentistry records with a practice address in Georgia. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than under 1% of them.
- NPI issued2006 · under 1% of these records are older, 77% newer
- In a Medicare fileNo · 58% of these records are
- In the CMS Doctors and Clinicians fileNo · 0% of these records are
- Record last updated2007 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223X0400X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthodontics and Dentofacial Orthopedics Dentistry providers in Georgia
There are 347 orthodontics and dentofacial orthopedics dentistry records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 347 in Georgia → Every provider in Fayetteville → Orthodontics and Dentofacial Orthopedics Dentistry nationwide →
The 8 orthodontics and dentofacial orthopedics dentistry records with the nearest ZIP codes
- Anthony Deluke, DDSFayetteville, GA 302141548370224
- Michael Granger, DMDFayetteville, GA 302141992864375
- Yi-Ping Liu, D.D.S.Fayetteville, GA 302141205074754
- Sydney Simpson, DMDFayetteville, GA 302141528310729
- Julian White, DDSFayetteville, GA 302141932378817
- Leroy Venn, D.D.S.Fairburn, GA 302131174717086
- Javonne White, D.D.S.Fairburn, GA 302131316916919
- Douglas Kallis, D.M.D.Griffin, GA 302241871693374
Common questions
What is Robert Edward Blake, D.D.S.,M.S.'s NPI number?
Robert Edward Blake, D.D.S.,M.S.'s National Provider Identifier (NPI) is 1407864440, issued on Aug 4, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Robert Edward Blake, D.D.S.,M.S. located?
The NPPES record lists a practice address at 104 N Park Dr, Fayetteville, GA, 30214. Phone: (770) 461-9931. Providers update this record themselves, so call before visiting.
How can I verify Robert Edward Blake, D.D.S.,M.S.'s license?
NPPES lists Georgia license number 7991, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.