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

Dr. Blake Michael Shaffou, DDS

Individual provider Dentist · NPI 1629969597

Dr. Blake Michael Shaffou, DDS is a Dentist in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
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.

See every abbreviation used in this directory →

Practice location Address checks out

13403 E 13 Mile Rd
Warren, MI 48088-3188
Phone: (586) 979-2800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901602609 (MI)

Record details

NPI number1629969597
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 10, 2025
Last updated in NPPESJuly 10, 2025
Certification dateJune 26, 2025
Mailing address1091 Forest Bay Ct, Waterford, MI 48328-4283

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