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Abraham Lawrence Azzouz, DDS
Dental Assistant in Detroit, Michigan
NPI 1710945308

Abraham Lawrence Azzouz is a Dental Assistant based in Detroit, MI. Abraham Lawrence Azzouz practices in Detroit, MI and has the professional credentials of DDS. The NPI Number for Abraham Lawrence Azzouz is 1710945308 and holds a License No. 2901015675 (Michigan).

The current practice location address for Abraham Lawrence Azzouz is 24366 Grand River Ave, Detroit, MI and can be reached out via phone at 313-535-2273 and via fax at 313-535-5212. You can also correspond with Abraham Lawrence Azzouz through the mailing address at 24366 GRAND RIVER AVE, DETROIT, MI - 48219-3063 (mailing address contact number: 313-535-2273).

Location: 24366 Grand River Ave, Detroit, MI, 48219-3063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710945308
Provider Name
Abraham Lawrence Azzouz
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
24366 Grand River Ave, Detroit, MI, 48219-3063
Phone Number
313-535-2273
Fax Number
313-535-5212
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15675 01 MI DELTA
3197750 05 MI
873745 01 UNITED CONCORDIA
D800185 01 MI BLUE CROSS BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
24366 Grand River Ave
City
Detroit
State
Michigan
Zip
48219-3063
Phone Number
313-535-2273
Fax Number
313-535-5212
person
Provider Business Mailing Address Details
Address
24366 Grand River Ave
City
Detroit
State
Michigan
Zip
48219-3063
Phone Number
313-535-2273
Fax Number
313-535-5212
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
2902014138 (Michigan)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dental Assistant
Speciality
-
Taxonomy
126800000X
License No.
2901015675 (Michigan)
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.
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