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DR. MOUSA GHANNAM DMD
NPI 1407699440
Dentist - General Practice in Detroit, MI

Active since June 17, 2024
5705 W VERNOR HWY, DETROIT, MI 48209(313) 842-3770 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2026, Jun 17, 2024 (2 updates tracked since 2024).

About Dr. Mousa Ghannam Dmd NPPES

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

DR. MOUSA GHANNAM DMD (NPI 1407699440) is an individual general practice provider in Detroit, Michigan, licensed in Michigan (2901602771) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1407699440
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MOUSA GHANNAMCredential: DMD
Location Address5705 W VERNOR HWYDetroit, MI 48209-2157
Mailing Address5705 W Vernor HwyDetroit, MI 48209-2157 · (313) 842-3770
Phone(313) 842-3770
Sole ProprietorYes
Enumeration DateJune 17, 2024
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1407699440 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 · 2901602771
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.
5705 W VERNOR HWY, Detroit, MI 48209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

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.

DR. ELHAM JAVIDAN-NEJAD DDS
Dentist
5705 W VERNOR HWY
DETROIT, MI 48209
Wayne County (313) 842-3770
VERNOR MEDICAL CENTER, PC
Clinic/Center (Primary Care)
5705 W VERNOR HWY
DETROIT, MI 48209
Wayne County (313) 841-0395
ZAINAB ZAINI DDS
Dentist
5705 W VERNOR HWY
DETROIT, MI 48209
Wayne County (313) 842-3771
G GHANNAM D D S
Clinic/Center (Dental)
5705 W VERNOR HWY
DETROIT, MI 48209
Wayne County (313) 842-3770
NORBERTO ALLENDE-JIMENEZ MD
General Practice
5705 W VERNOR HWY
DETROIT, MI 48209
Wayne County (313) 841-0395
DR. TALA MAHJOUB DDS
Dentist (General Practice)
5705 W VERNOR HWY
DETROIT, MI 48209
Wayne County (313) 842-3772
DR. DAVID GERARD SELUK D.D.S.
Dentist (General Practice)
5705 W VERNOR HWY
DETROIT, MI 48209
Wayne County (313) 842-3770
DR. KINAAN KANA DDS
Dentist (General Practice)
5705 W VERNOR HWY
DETROIT, MI 48209
Wayne County (313) 842-3772

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 Mousa Ghannam's NPI number?

The NPI number for Mousa Ghannam is 1407699440. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Mousa Ghannam located?

Mousa Ghannam practices at 5705 W Vernor Hwy, Detroit, MI 48209. The listed phone number is (313) 842-3770.

What is Mousa Ghannam's specialty?

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

What insurance does Mousa Ghannam accept?

Health plans from Delta Dental of Michigan list Mousa Ghannam 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 Mousa Ghannam was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.