Stephen Joseph Blake in Fenton - General Practice
Stephen Joseph Blake - NPI 1184668683
Stephen Joseph Blake is a General Practice in Fenton, Michigan. Stephen Joseph Blake practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephen Joseph Blake is 1184668683. The last update date is 2007-07-08.
Stephen Joseph Blake's current location address is 12162 Denton View Dr, Fenton, Michigan. You can contact this provider via phone number 8107505276 and fax number 8107503722. The mailing address for Stephen Joseph Blake is 12162 Denton View Dr, Fenton, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Joseph Blake |
|---|---|
| Address | 12162 Denton View Dr, Fenton, Michigan |
| Phone Number | 8107505276 |
| Fax Number | 8107503722 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1184668683 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12162 Denton View Dr |
|---|---|
| City | Fenton |
| State | Michigan (MI) |
| Post Code | 484302504 |
| Phone Number | 8107505276 |
| Fax Number | 8107503722 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13386 |
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Definition: 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. |
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What is the unique provider identifier assigned to Stephen Joseph Blake?
The Stephen Joseph Blake has been issued the NPI (National Provider Identifier) 1184668683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Stephen Joseph Blake's physical address?
The Stephen Joseph Blake is physically located at 12162 Denton View Dr, in the city of Fenton, MI, with the postal code 484302504.
What is Stephen Joseph Blake's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephen Joseph Blake is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184668683 to Stephen Joseph Blake?
The Centers for Medicare & Medicaid Services assigned the 1184668683 to Stephen Joseph Blake on 2006-06-15.
When was the Stephen Joseph Blake's information last updated?
The Stephen Joseph Blake's information was last updated on 2007-07-08.