IndividualActive
Blake Shaffou, DDS
NPI 1629969597 · Dentist · Warren, MI
Blake Shaffou, DDS is a Dentist provider in Warren, MI (NPI 1629969597).
Provider details
- NPI number
- 1629969597
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2901602609 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13403 E 13 Mile Rd
Warren, MI 48088-3188
Phone: (586) 979-2800
Street-level locationGet directions
Mailing address
1091 Forest Bay Ct
Waterford, MI 48328-4283
Registry dates
- Enumerated
- 2025-07-10
- Last updated
- 2025-07-10
- Certified
- 2025-06-26
Frequently asked questions
- What is Blake Shaffou's NPI number?
- Blake Shaffou's National Provider Identifier (NPI) is 1629969597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Shaffou's specialty?
- Blake Shaffou is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Blake Shaffou located?
- Blake Shaffou's practice location on file with NPPES is 13403 E 13 Mile Rd, Warren, MI 48088-3188.
- What is Blake Shaffou's phone number?
- The practice phone number listed in the NPPES registry for Blake Shaffou is (586) 979-2800.
- Is Blake Shaffou's NPI active?
- Yes — Blake Shaffou's NPI (1629969597) is active in the NPPES registry as of the last update on 2025-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.