Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABRAHAM LAWRENCE AZZOUZ D.D.S.
NPI 1710945308
Dental Assistant in Detroit, MI

Q: What is Abraham Azzouz's NPI number?

The NPI number for Abraham Azzouz is 1710945308. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Abraham Azzouz's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

Q: When was this NPI record last updated?

The NPPES record for Abraham Azzouz was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since May 03, 2006PECOS Enrolled

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

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025, Mar 7, 2023 (3 updates tracked since 2023).

On this page

About Abraham Lawrence Azzouz D.d.s. NPPES

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

ABRAHAM LAWRENCE AZZOUZ D.D.S. (NPI 1710945308) is an individual dental assistant in Detroit, Michigan and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710945308

Entity TypeIndividualMale

Primary Taxonomy126800000X

Provider Legal NameABRAHAM LAWRENCE AZZOUZCredential: D.D.S.

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

Sole ProprietorNo

Enumeration DateMay 3, 2006

Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration

✔ NPI 1710945308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDental AssistantDental Providers

Taxonomy Code126800000X

Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2901015675 (MI)

Also ListedDental HygienistTaxonomy 124Q00000X · License 2902014138 (MI)

24366 GRAND RIVER AVE, Detroit, MI 48219

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Other Identifiers 4

Other15675MI · Delta

Medicaid3197750MI

Other873745United Concordia

OtherD800185MI · Blue Cross Blue Sheild

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abraham Lawrence Azzouz 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.

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

GRAND RIVER FAMILY DENTISTRY P.C.

Dentist (General Practice)

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 Abraham Azzouz's NPI number?

The NPI number for Abraham Azzouz is 1710945308. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Abraham Azzouz located?

Abraham Azzouz practices at 24366 Grand River Ave Suite 111, Detroit, MI 48219. The listed phone number is (313) 535-2273.

What is Abraham Azzouz's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

Is Abraham Azzouz enrolled in Medicare?

Yes. Abraham Azzouz is registered in the Medicare PECOS enrollment system.

What insurance does Abraham Azzouz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 12 other insurers list Abraham Azzouz 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 Abraham Azzouz was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.