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Active NPI 1184668683 Individual Practitioner Male Practitioner

Dr. Stephen Joseph Blake , DDS

Dentist - General Practice • Waterford, MI

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Blake, DDS is a registered healthcare professional specializing in Dentist - General Practice in Waterford, MI. Practice services are available at 1101 W HURON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1101 W Huron St

Waterford, MI 483283736

Telephone 2486818100
Fax 2486816318
Associated Practice Facility / Clinic
🏢 Marvin S. Taylor Dds Pc Facility NPI 1417012774

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waterford, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
41 Specialists

Practicing in Waterford, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 13386

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Marvin Taylor , DDS

Dentist - General Practice

NPI 1053472829

Doctor of Dental Surgery

Dr. David Kamen , DDS

Dentist - General Practice

NPI 1184632242

Doctor of Dental Surgery

NPI 1235404781
NPI 1316984644

Doctor of Dental Surgery

Dr. Zvi Kennet , DMD, MSC

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1356427025

Doctor of Dental Medicine, Master of Science

Dr. Marco Tauil , DDS

Dentist - General Practice

NPI 1447413018

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1101 W HURON ST, WATERFORD, MI 483283736 (Tel: 2486818100)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12162 DENTON VIEW DR, FENTON, MI 484302504 (Tel: 8107505276)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN BLAKE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #13386 in MI)

🟢
Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184668683
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

12162 Denton View Dr

Fenton, MI 484302504

Phone: 8107505276

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.