Organization
MELISSA BLAKE DMD, PLLC (DBA EVERLASTING LIGHT PEDIATRIC DENTISTRY)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BLAKE DMD (PEDIATRIC DENTIST)
(336) 364-5223
Entity
Organization
Contact information
Practice address
2970 MEARNS CASTLE DRIVE, SUITE 101, GREENSBORO, NC 27405
(336) 364-5223
Mailing address
2970 MEARNS CASTLE DRIVE, SUITE 101, GREENSBORO, NC 27405
(774) 251-1137
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/21/2026
Last updated
08/21/2026
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