Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE CHARLES MIKESELL, DDS
Active Sole ProprietorBLAKE CHARLES MIKESELL, DDS is a Dentist healthcare provider located in WALLED LAKE, Michigan. NPI 1689300659 is currently active in the NPPES registry. Verify at CMS.
Dentist · WALLED LAKE, MI
Registration Details
- NPI Number
- 1689300659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2022 (4.028506913227 yrs)
- Last Updated
- Aug 1, 2022
- License
-
2901601410 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1955 N PONTIAC TRLWALLED LAKE, MI, 483903157Browse MI providers · Browse ZIP 48390
- Phone
- 2486692311
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WALLED LAKE, MI
| Name | Credential | NPI |
|---|---|---|
| RICK JEROME DEROVEN | DDS | 1982627105 |
| DR. GEORGE GEORGES CHABIAA | D.D.S. | 1922173806 |
| BRUCE EDWARD HULSCHER | DDS | 1376606269 |
| JAMIE L HAFKE | D.D.S. | 1730385097 |
| DR. RASHMI SWAMY | DMD | 1265614184 |
| RYAN K TOTH | DMD | 1750546115 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.