Individual provider · Type 1 NPI

Mariam Atisha, DDS

General Practice Dentistry · Livonia, MI

NPI number 1063145977 Active

Practice location

33428 Five Mile Rd
Livonia, MI 48154-2860

Mailing address

4144 Meadow Way
Bloomfield Hills, MI 48301-1214

Other practice locations

  • 3415 Livernois Rd, Troy, MI 48083-5063 · (248) 519-1919

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901601479 (MI)

General Practice Dentistry: 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.

6 other providers at this address

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About NPI 1063145977

Mariam Atisha, DDS's National Provider Identifier is 1063145977, issued on Jul 7, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Livonia, MI. The record was last updated on Aug 26, 2025.