Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Doctor Micah J'King Blaze, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124681069

Dr. Doctor Micah J'King Blaze, DMD is a Student in an Organized Health Care Education/Training Program in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5 E Liberty St
Cincinnati, OH 45202-8202
Phone: (513) 721-6060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30.026412 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Dentistry Taxonomy 1223G0001X · Licence 30.026412 (OH)

Record details

NPI number1124681069
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 16, 2019
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

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