Blake Michael Shaffou, DDS

Dentist · Warren, MI

Individual Active NPI

NPI number 1629969597

Practice location

13403 E 13 Mile Rd
Warren, MI 48088-3188
Phone
(586) 979-2800

Open in Google Maps

NPI record

NPI
1629969597
Entity type
Individual (Type 1)
Enumeration date
July 10, 2025
Last updated
July 10, 2025
Certified
June 26, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901602609 MI

Mailing address

1091 Forest Bay Ct
Waterford, MI 48328-4283
Phone
(248) 672-9202

About Dr. Shaffou

Blake Michael Shaffou, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 13403 E 13 Mile Rd, Warren, MI 48088-3188. The NPI number 1629969597 was assigned on July 10, 2025 and the record was last updated on July 10, 2025.

Dr. Shaffou lists a license in the registry: #2901602609 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Michael Shaffou, DDS?

The NPI number is 1629969597.

What is the phone number of Dr. Shaffou?

The phone number listed for the practice location is (586) 979-2800.

Where is Dr. Shaffou located?

13403 E 13 Mile Rd, Warren, MI 48088-3188.

What is the taxonomy code for Dr. Shaffou?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Warren

All Dentist providers in Warren, MI →