Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Charles Mikesell, DDS

Individual provider Dentist · NPI 1689300659

Blake Charles Mikesell, DDS is a Dentist in Walled Lake, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1955 N Pontiac Trl
Walled Lake, MI 48390-3157
Phone: (248) 669-2311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901601410 (MI)

Record details

NPI number1689300659
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022
Mailing address9639 Currie Rd, Northville, MI 48167-9143

Other providers in Walled Lake