G GHANNAM D D S
NPI 1255508800
Clinic/Center - Dental in Detroit, MI
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
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
G Ghannam D D S is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to G Ghannam D D S, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is G Ghannam D D S enrolled in Medicare?
Yes. G Ghannam D D S is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through G Ghannam D D S?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to G Ghannam D D S. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for G Ghannam D D S was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# G Ghannam D D S · NPI 1255508800
Dental organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since May 13, 2008.
## Identity
- **NPI:** 1255508800 (Entity type: Organization)
- **Enumerated:** May 13, 2008
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Ghanem Ghannam, SOLE OWNER
## Practice location
- **Address:** 5705 W VERNOR HWY, Detroit, MI 48209-2157
- **Phone:** (313) 842-3770
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2026
- **Other identifiers:** Medicaid 1692476 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1255508800) · Data from the CMS NPPES public registry.