Blake Gabriel Livingston, DDS | |
13724 Woodward Ave, Highland Park, MI 48203-3625 | |
(313) 883-3050 | |
Not Available |
Full Name | Blake Gabriel Livingston |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 13724 Woodward Ave, Highland Park, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750677902 | NPI | - | NPPES |
1750677902 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 20372 (Michigan) | Secondary |
1223G0001X | Dentist - General Practice | 20372 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Blake Gabriel Livingston, DDS 13724 Woodward Ave, Highland Park, MI 48203-3625 Ph: (313) 883-3050 | Blake Gabriel Livingston, DDS 13724 Woodward Ave, Highland Park, MI 48203-3625 Ph: (313) 883-3050 |
Dr. Ronald Anthony Livingston, DDS Dentist Medicare: Medicare Enrolled Practice Location: 13724 Woodward Ave, Highland Park, MI 48203 Phone: 313-883-3050 Fax: 313-883-7038 | |
Dr. Velton Denise Robinson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 211 Glendale St, Suite 411, Highland Park, MI 48203 Phone: 313-868-3384 Fax: 313-868-3387 |