DR. PAULINE JIDDOU D.D.S.
NPI 1184812034
Dentist - General Practice in Lathrup Village, MI

Active since October 04, 2007PECOS Enrolled
18181 W 12 MILE RD, SUITE 4, LATHRUP VILLAGE, MI 48076(248) 557-5756 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Pauline Jiddou D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAULINE JIDDOU D.D.S. (NPI 1184812034) is an individual general practice provider in Lathrup Village, Michigan, licensed in Michigan (18645) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184812034
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PAULINE JIDDOUCredential: D.D.S.
Location Address18181 W 12 MILE RD, SUITE 4Lathrup Village, MI 48076-2666
Mailing Address18181 W 12 Mile Rd, Suite 4Lathrup Village, MI 48076-2666 · (248) 557-5756
Sole ProprietorNo
Enumeration DateOctober 4, 2007
NPI 1184812034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 18645
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.

18181 W 12 MILE RD, Lathrup Village, MI 48076

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Pauline Jiddou D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
18181 W 12 MILE RD, SUITE 4
LATHRUP VILLAGE, MI 48076
Dentist
18181 W 12 MILE RD
LATHRUP VILLAGE, MI 48076
Dentist
18181 W 12 MILE RD
LATHRUP VILLAGE, MI 48076
Dentist (General Practice)
18181 W 12 MILE RD, SUITE 4
LATHRUP VILLAGE, MI 48076
Dentist (General Practice)
18181 W 12 MILE RD
LATHRUP VILLAGE, MI 48076
Dentist (General Practice)
18181 W 12 MILE RD
LATHRUP VILLAGE, MI 48076
Dentist (Pediatric Dentistry)
18181 W 12 MILE RD, SUITE1
LATHRUP VILLAGE, MI 48076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pauline Jiddou's NPI number?

The NPI number for Pauline Jiddou is 1184812034. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Pauline Jiddou located?

Pauline Jiddou practices at 18181 W 12 Mile Rd Suite 4, Lathrup Village, MI 48076. The listed phone number is (248) 557-5756.

What is Pauline Jiddou's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Pauline Jiddou enrolled in Medicare?

Yes. Pauline Jiddou is registered in the Medicare PECOS enrollment system.

What insurance does Pauline Jiddou accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 10 other insurers list Pauline Jiddou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pauline Jiddou was last updated on October 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.