Individual provider · Type 1 NPI

Ghanem M. Ghannam, DDS

Oral and Maxillofacial Surgery (Dentist) · Detroit, MI

NPI number 1770612780 Active

Practice location

5705 W Vernor Hwy
Detroit, MI 48209-2157

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X014082 (MI)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X014082 (MI)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1770612780

Ghanem M. Ghannam, DDS's National Provider Identifier is 1770612780, issued on Mar 5, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Detroit, MI. The record was last updated on Aug 8, 2024.