Dr Stephen Joseph Blake Sr, DDS - Medicare Dentist in Waterford, MI

Dr Stephen Joseph Blake Sr, DDS is a medicare enrolled "Dentist - General Practice" provider in Waterford, Michigan. His current practice location is 1101 W Huron St, Waterford, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 681-8100.

Dr Stephen Joseph Blake Sr is licensed to practice in Michigan (license number 13386) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184668683.

Contact Information

Dr Stephen Joseph Blake Sr, DDS
1101 W Huron St,
Waterford, MI 48328-3736
(248) 681-8100
(248) 681-6318



Healthcare Provider's Profile

Full NameDr Stephen Joseph Blake Sr
GenderMale
SpecialityDentist - General Practice
Location1101 W Huron St, Waterford, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184668683
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9739461450
  • Enrollment ID: I20170112002158

Medical Identifiers

Medical identifiers for Dr Stephen Joseph Blake Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184668683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 13386 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephen Joseph Blake Sr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Stephen Joseph Blake Sr, DDS
12162 Denton View Dr,
Fenton, MI 48430-2504

Ph: (810) 750-5276
Dr Stephen Joseph Blake Sr, DDS
1101 W Huron St,
Waterford, MI 48328-3736

Ph: (248) 681-8100

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› Verified 1 days ago


Dentist in Waterford, MI

Dr. Frank S Jones Jr., DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2335 Pontiac Lake Rd, Waterford, MI 48328
Phone: 248-681-3600    Fax: 248-681-7172
Dr. Elaine K Gantz, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 4005 Highland Rd, Waterford, MI 48328
Phone: 248-682-4971    
Dr. David James Mcchesney,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5155 Dixie Hwy, Waterford, MI 48329
Phone: 248-674-4659    Fax: 248-674-2087
Dr. Marvin S Taylor, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1101 W Huron St, Waterford, MI 48328
Phone: 248-681-8100    Fax: 248-681-6318
William Scott Ward, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4597 W Walton Blvd, Waterford, MI 48329
Phone: 248-673-8898    Fax: 248-673-5224
Dr. Allan Jacobs, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2335 Pontiac Lake Rd, Waterford, MI 48328
Phone: 248-683-2300    
Dr. David Lieberman, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3661 Highland Road, Waterford, MI 48328
Phone: 248-682-6883    

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