Individual provider · Type 1 NPI

Mousa Ghannam, DMD

General Practice Dentistry · Detroit, MI

NPI number 1407699440 Active

Practice location

5705 W Vernor Hwy
Detroit, MI 48209-2157

Call (313) 842-3770 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901602771 (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.

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About NPI 1407699440

Mousa Ghannam, DMD's National Provider Identifier is 1407699440, issued on Jun 17, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Detroit, MI. The record was last updated on Apr 16, 2026.