G GHANNAM D D S
NPI 1255508800
Clinic/Center - Dental in Detroit, MI

Active since May 13, 2008
5705 W VERNOR HWY, DETROIT, MI 48209(313) 842-3770 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About G Ghannam D D S NPPES

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

G GHANNAM D D S (NPI 1255508800) is a healthcare organization registered as a dental in Detroit, Michigan and active in the NPI registry since May 2008. The organization lists Ghanem M. Ghannam, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1255508800
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameG GHANNAM D D S
Location Address5705 W VERNOR HWYDetroit, MI 48209-2157
Mailing Address5705 W Vernor HwyDetroit, MI 48209-2157 · (313) 842-3770
Organization SubpartNo
Authorized OfficialGhanem M. GhannamSole Owner · (313) 842-3770
Enumeration DateMay 13, 2008
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
NPI 1255508800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
5705 W VERNOR HWY, Detroit, MI 48209

Other Identifiers 1

Medicaid1692476MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

Dentist
5705 W VERNOR HWY
DETROIT, MI 48209
Clinic/Center (Primary Care)
5705 W VERNOR HWY
DETROIT, MI 48209
Dentist
5705 W VERNOR HWY
DETROIT, MI 48209
General Practice
5705 W VERNOR HWY
DETROIT, MI 48209
Dentist (General Practice)
5705 W VERNOR HWY
DETROIT, MI 48209
Dentist (General Practice)
5705 W VERNOR HWY
DETROIT, MI 48209
Dentist (General Practice)
5705 W VERNOR HWY
DETROIT, MI 48209
Dentist (General Practice)
5705 W VERNOR HWY
DETROIT, MI 48209

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 G Ghannam D D S's NPI number?

The NPI number for G Ghannam D D S is 1255508800. It was assigned to this organization in the NPPES registry on May 13, 2008.

Where is G Ghannam D D S located?

G Ghannam D D S is located at 5705 W Vernor Hwy, Detroit, MI 48209. The listed phone number is (313) 842-3770.

What is G Ghannam D D S's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for G Ghannam D D S was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.