Individual provider · Type 1 NPI

Blake Andrew Maddalena, DDS

General Practice Dentistry · Detroit, MI

NPI number 1124954789 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Call (313) 576-1000 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901603171 (MI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1124954789

Blake Andrew Maddalena, DDS's National Provider Identifier is 1124954789, issued on Jun 22, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Detroit, MI. The record was last updated on Jun 22, 2026.