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Blake Gabriel Livingston, DDS
General Practice Dentistry in Highland Park, Michigan
NPI 1750677902

Blake Gabriel Livingston is a General Practice Dentistry based in Highland Park, MI and is specialized in General Practice. Blake Gabriel Livingston practices in Highland Park, MI and has the professional credentials of DDS. The NPI Number for Blake Gabriel Livingston is 1750677902 and holds a License No. 20372 (Michigan).

The current practice location address for Blake Gabriel Livingston is 13724 Woodward Ave, Highland Park, MI and can be reached out via phone at 313-883-3050.

Location: 13724 Woodward Ave, Highland Park, MI, 48203-3625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750677902
Provider Name
Blake Gabriel Livingston
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
13724 Woodward Ave, Highland Park, MI, 48203-3625
Phone Number
313-883-3050
Fax Number
Provider Enumeration Date
06/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1750677902 05 MI
institution
Provider Business Practice Location Address Details
Address
13724 Woodward Ave
City
Highland Park
State
Michigan
Zip
48203-3625
Phone Number
313-883-3050
Fax Number
person
Provider Business Mailing Address Details
Address
13724 Woodward Ave
City
Highland Park
State
Michigan
Zip
48203-3625
Phone Number
313-883-3050
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
20372 (Michigan)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
20372 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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