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GRAND RIVER FAMILY DENTISTRY P.C.
NPI 1467401141
Dentist - General Practice in Detroit, MI

Active since May 09, 2006
24366 GRAND RIVER AVE, SUITE 111, DETROIT, MI 48219(313) 535-2273(313) 535-5212 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand River Family Dentistry P.c. NPPES

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

GRAND RIVER FAMILY DENTISTRY P.C. (NPI 1467401141) is a healthcare organization registered as a general practice in Detroit, Michigan and active in the NPI registry since May 2006. The organization lists Abraham Lawrence Azzouz, President Dentist, as its authorized official.

NPPES Registry Identity

NPI1467401141
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRAND RIVER FAMILY DENTISTRY P.C.
Location Address24366 GRAND RIVER AVE, SUITE 111Detroit, MI 48219-3063
Mailing Address24366 Grand River Ave, Suite 111Detroit, MI 48219-3063 · (313) 535-2273 · Fax (313) 535-5212
Phone(313) 535-2273
Fax(313) 535-5212
Organization SubpartNo
Authorized OfficialAbraham Lawrence AzzouzPresident Dentist · (313) 535-2273
Enumeration DateMay 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467401141 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 · 2901015675
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.
24366 GRAND RIVER AVE, Detroit, MI 48219
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Other Identifiers 4

Other873745MI · United Concordia
Medicaid3197750MI
OtherD800185MI · Blue Cross Blue Sheild
OtherBA2373443U.s. D.e.a.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

JOSEPH AZZOUZ DDS
Dentist
24366 GRAND RIVER AVE
DETROIT, MI 48219
Wayne County (248) 924-7773
HUSSIEN SAM BAYDOUN DDS
Dentist (General Practice)
24366 GRAND RIVER AVE
DETROIT, MI 48219
Wayne County (313) 535-2273
ABRAHAM LAWRENCE AZZOUZ D.D.S.
Dental Assistant
24366 GRAND RIVER AVE, SUITE 111
DETROIT, MI 48219
Wayne County (313) 535-2273

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 Grand River Family Dentistry P.C.'s NPI number?

The NPI number for Grand River Family Dentistry P.C. is 1467401141. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Grand River Family Dentistry P.C. located?

Grand River Family Dentistry P.C. is located at 24366 Grand River Ave Suite 111, Detroit, MI 48219. The listed phone number is (313) 535-2273.

What is Grand River Family Dentistry P.C.'s specialty?

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

What insurance does Grand River Family Dentistry P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Grand River Family Dentistry P.C. 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 Grand River Family Dentistry P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.