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Dr. Ghanem M. Ghannam, DDS
Oral and Maxillofacial Surgery (Dentist) in Detroit, Michigan
NPI 1770612780

Ghanem M. Ghannam is a Oral and Maxillofacial Surgery (Dentist) based in Detroit, MI and is specialized in Oral and Maxillofacial Surgery. Ghanem M. Ghannam practices in Detroit, MI and has the professional credentials of DDS. The NPI Number for Ghanem M. Ghannam is 1770612780 and holds a License No. 014082 (Michigan).

The current practice location address for Ghanem M. Ghannam is 5705 W Vernor Hwy, Detroit, MI and can be reached out via phone at 313-842-3770.

Location: 5705 W Vernor Hwy, Detroit, MI, 48209-2157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770612780
Provider Name
Ghanem M. Ghannam
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5705 W Vernor Hwy, Detroit, MI, 48209-2157
Phone Number
313-842-3770
Fax Number
Provider Enumeration Date
03/05/2007
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1692476 05 MI
institution
Provider Business Practice Location Address Details
Address
5705 W Vernor Hwy
City
Detroit
State
Michigan
Zip
48209-2157
Phone Number
313-842-3770
Fax Number
person
Provider Business Mailing Address Details
Address
5705 W Vernor Hwy
City
Detroit
State
Michigan
Zip
48209-2157
Phone Number
313-842-3770
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
014082 (Michigan)
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
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
014082 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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