Blake, Stephen Joseph

Blake, Stephen Joseph is an individual health care provider with primary practice located at 1101 W Huron St , Waterford MI 48328-3736. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blake, Stephen Joseph can be contacted via phone (248) 681-8100.

Contact Information

Primary practice address
1101 W Huron St Waterford MI 48328-3736
Phone: (248) 681-8100
Fax: (248) 681-6318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13386 Michigan

Profile Details

NPI number 1184668683
LBN Legal business name Blake, Stephen Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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