Blake Andrew Maddalena is a Detroit, Michigan based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Blake Andrew Maddalena is
2901603171 for General Practice Dentistry in Michigan. His current practice location is
4646 John R St, Detroit. Patients can reach him at
313-576-1000.
Blake Andrew Maddalena is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Blake Andrew Maddalena speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Blake Andrew Maddalena |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4646 John R St, Detroit,
Michigan, 48201-1916 |
| Phone: | 313-576-1000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1124954789 |
| NPI Enumeration Date: | 22 Jun, 2026 |
| NPI Last Update On: | 22 Jun, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blake Andrew Maddalena are as mentioned below.
| License Number | Specialization | State | Status | |
| 2901603171 | General Practice Dentistry | Michigan | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4646 John R St,
Detroit, Michigan |
| Zip: | 48201-1916 |
| Phone Number: | 313-576-1000 |
Patients can reach Blake Andrew Maddalena at
4646 John R St, Detroit, Michigan or can
call to book an appointment on 313-576-1000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.