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DR. BLAKE MICHAEL SHAFFOU DDS
NPI 1629969597
Dentist in Warren, MI

Active since July 10, 2025
13403 E 13 MILE RD, WARREN, MI 48088(586) 979-2800 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Blake Michael Shaffou Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAKE MICHAEL SHAFFOU DDS (NPI 1629969597) is an individual dentist in Warren, Michigan, licensed in Michigan (2901602609) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1629969597
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BLAKE MICHAEL SHAFFOUCredential: DDS
Location Address13403 E 13 MILE RDWarren, MI 48088-3188
Mailing Address1091 Forest Bay CtWaterford, MI 48328-4283 · (248) 672-9202
Phone(586) 979-2800
Sole ProprietorNo
Enumeration DateJuly 10, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1629969597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901602609
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
13403 E 13 MILE RD, Warren, MI 48088
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HUSSAIN ARBAB BDS
Dentist (Periodontics)
13403 E 13 MILE RD
WARREN, MI 48088
Macomb County (586) 979-2800
DR. AMY E. WENDLING D.D.S.
Dentist (General Practice)
13403 E 13 MILE RD
WARREN, MI 48088
Macomb County (586) 979-2800
FADIA S HANNA DDS
Dentist (General Practice)
13403 E 13 MILE RD
WARREN, MI 48088
Macomb County (586) 979-2800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Shaffou's NPI number?

The NPI number for Blake Shaffou is 1629969597. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Blake Shaffou located?

Blake Shaffou practices at 13403 E 13 Mile Rd, Warren, MI 48088. The listed phone number is (586) 979-2800.

What is Blake Shaffou's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Blake Shaffou accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Delta Dental of Michigan and 2 other insurers list Blake Shaffou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blake Shaffou was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.