Doctor profile · Federal record

Dr. Blake Willoughby, DDS

General Practice Dentistry · Student in an Organized Health Care Education/Training Program · Palm Beach Gardens, FL

  • NPI 1043772742
  • 7 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3400 Burns RD Ste 100
Palm Beach Gardens, FL 334104352
(561) 627-2122
Mailing address
63 Hickory Hill RD
Tequesta, FL 334692125

Credentials & registration

NPPES · NUCC
NPI registered
April 2019 — 7 yrs on file
Profile last updated
March 7, 2023
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
Florida #DN24534

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1043772742. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$340
Transactions
10
Manufacturers
6
Payer (manufacturer) Industry Txns Amount
Straumann USA LLC 2 $131.10
Zimvie INC. 3 $113.18
Patterson Companies, INC. 1 $34.81
Align Technology, INC. 2 $24.21
Dentsply Sirona INC 1 $20.07
OraPharma, A Division of Bausch Health US, LLC 1 $16.99

By nature of payment

Food and Beverage
$262
Gift
$78

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
29
Patients
21
Total drug cost
$79
Drug Type Claims Patients Total cost
Amoxicillin Generic 29 21 $79

Frequently asked questions

Auto-generated from federal data
What is Dr. Blake Willoughby's medical specialty?
Dr. Blake Willoughby practices General Practice Dentistry in Palm Beach Gardens, FL.
Where does Dr. Blake Willoughby practice?
Dr. Blake Willoughby practices at 3400 Burns RD Ste 100, Palm Beach Gardens, FL 334104352. Office phone: 5616272122.
What is Dr. Blake Willoughby's NPI?
Dr. Blake Willoughby's National Provider Identifier (NPI) is 1043772742, issued by NPPES.