BLAKE CHARLES MIKESELL DDS
NPI 1689300659
Dentist in Walled Lake, MI

Active since August 01, 2022
1955 N PONTIAC TRL, WALLED LAKE, MI 48390(248) 669-2311 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blake Charles Mikesell Dds NPPES

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

BLAKE CHARLES MIKESELL DDS (NPI 1689300659) is an individual dentist in Walled Lake, Michigan, licensed in Michigan (2901601410) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1689300659
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBLAKE CHARLES MIKESELLCredential: DDS
Location Address1955 N PONTIAC TRLWalled Lake, MI 48390-3157
Mailing Address9639 Currie RdNorthville, MI 48167-9143 · (231) 360-7138
Sole ProprietorYes
Enumeration DateAugust 1, 2022
NPPES CertifiedAugust 1, 2022
NPI 1689300659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901601410
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.

1955 N PONTIAC TRL, Walled Lake, MI 48390

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1955 N PONTIAC TRL
WALLED LAKE, MI 48390

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 Mikesell's NPI number?

The NPI number for Blake Mikesell is 1689300659. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Blake Mikesell located?

Blake Mikesell practices at 1955 N Pontiac Trl, Walled Lake, MI 48390. The listed phone number is (248) 669-2311.

What is Blake Mikesell's specialty?

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

What insurance does Blake Mikesell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Montana and 6 other insurers list Blake Mikesell 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 Mikesell was last updated on August 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.