Individual provider · Type 1 NPI

Blake Charles Mikesell, DDS

Dentist · Walled Lake, MI

NPI number 1689300659 Active

Practice location

1955 N Pontiac Trl
Walled Lake, MI 48390-3157

Mailing address

9639 Currie Rd
Northville, MI 48167-9143

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901601410 (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 1689300659

Blake Charles Mikesell, DDS's National Provider Identifier is 1689300659, issued on Aug 1, 2022. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Walled Lake, MI. The record was last updated on Aug 1, 2022.