Jamie L Hafke DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JAMIE L HAFKE DDS PLLC

Practice address

1955 N Pontiac TRL
Walled Lake, MI 48390-3157

Phone

(248) 669-2311

Fax

(248) 669-5858

NPI assigned

Sep 29, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan M Johnston

Title

Insurance Coordinator

Phone

(248) 669-2311

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blake Charles Mikesell, DDS

  • Dentist
  • Walled Lake, MI
  • NPI 1689300659
  NPD
• Jamie L Hafke, D.D.S.

  • Dentist
  • Walled Lake, MI
  • NPI 1730385097
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1255948790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903157",
            "telephone_number": "248-669-2311",
            "fax_number": "248-669-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903157",
            "telephone_number": "248-669-2311",
            "fax_number": "248-669-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE L HAFKE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "248-669-2311"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Margaret Hudson, LMSW
• Bruce Edward Hulscher, DDS
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• Stephen Eric Jacobson, D.D.S. PC
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• Laura Kaye Johnson-Hughes, LMSW
• Jasmine Erica Jones, LMSW
• Josephine Salem Consulting PLLC
• Ilze Liene Junkulis-Muller, R.PH.

• General Practice Dentistry in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.