Individual provider · Type 1 NPI

Blake Michael Shaffou, DDS

Dentist · Warren, MI

NPI number 1629969597 Active

Practice location

13403 E 13 Mile Rd
Warren, MI 48088-3188

Mailing address

1091 Forest Bay Ct
Waterford, MI 48328-4283

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901602609 (MI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1629969597

Blake Michael Shaffou, DDS's National Provider Identifier is 1629969597, issued on Jul 10, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Warren, MI. The record was last updated on Jul 10, 2025.