ABDUL GHANI FAHD MOHAMMED


Address: 12871 E Jefferson Ave, Ste. C, Detroit, MI 48215-2754
Phone: 3138224200

ABDUL GHANI FAHD MOHAMMED (NPI# 1144770652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144770652
Entity Type Individual
Full Name ABDUL GHANI FAHD MOHAMMED
Credential D.D.S.
Practice Address 12871 E Jefferson Ave
Ste. C
Detroit
MI 48215-2754
Mailing Address 23800 Orchard Lake Rd
Ste. 106
Farmington Hills
MI 48336-2560
Practice Telephone 3138224200
Mailing Telephone 2487555700
Enumeration Date 2016-10-07
Last Update Date 2016-10-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 2901022051 MI Dental Providers

Office Location

Street Address 12871 E JEFFERSON AVE
STE. C
City DETROIT
State MI
Zip Code 48215-2754

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548252240 Gloria Chaney Family Medicine 12871 E Jefferson Ave, Detroit, MI 48215-2754 2005-08-18
1720619091 Sunshine Mental Health Care Nurse Practitioner 12871 E Jefferson Ave, Detroit, MI 48215-2754 2020-01-27
1730681735 Kidds Comfort Transportation Services,llc Driver 12871 E Jefferson Ave, Detroit, MI 48215-2754 2018-03-06
1154854016 Lenyie Ngbogbara Pharmacist 12871 E Jefferson Ave, Detroit, MI 48215-2754 2017-04-07
1871617290 Stephen Thomas Holmes Dentist 12871 E Jefferson Ave, Ste C, Detroit, MI 48215-2754 2007-03-19
1710039383 Baig Dental Group, P.C. Dentist 12871 E Jefferson Ave, Ste. C, Detroit, MI 48215-2754 2007-01-17
1437161437 Park Family Health Care, P.C. Family Medicine 12871 E Jefferson Ave, Detroit, MI 48215-2754 2006-08-12
1447294970 Kelly Gardiner Nurse Practitioner 12871 E Jefferson Ave, Detroit, MI 48215-2754 2006-06-15
1194770628 Viraj V Shah Dentist 12871 E Jefferson Ave, Ste. C, Detroit, MI 48215-2754 2006-05-23
1801888565 Richard M. Brown Family Medicine 12871 E Jefferson Ave, Detroit, MI 48215-2754 2005-08-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073035473 Creative Empowerment Counseling Services, LLC Community/Behavioral Health 214 Manistique, Detroit, MI 48215 2017-07-07
1801323530 Tanya Wade Social Worker 12800 E Warren, Detroit, MI 48215 2017-05-12
1992164289 Juanita Johnson Counselor 13336-40 E. Warren Ave, Detroit, MI 48215 2016-02-16
1629476379 Northeast Guidance Center Community/Behavioral Health 12800 Warren, Detroit, MI 48215 2014-12-11
1407253412 Conner Pharmacy LLC Pharmacy 4673 Conner Street, Detroit, MI 48215 2014-11-20
1053734285 Dawne Robinson Counselor 2995 Conner St, Detroit, MI 48215 2014-01-23
1790065357 Michelle Miller Counselor 2900 Conner, Bldg. A, Detroit, MI 48215 2011-08-26
1710286836 Northeast Guidance Center Community/Behavioral Health 2900 Conner St, Ste A, Detroit, MI 48215 2011-03-16
1871892992 Lisa Nicole Marszalec Counselor 12800 East Warren Ave, Detroit, MI 48215 2011-03-16
1881845014 Deborah A Caldwell Nutritionist 13340 E Warren, Detroit, MI 48215 2008-10-07
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578947784 Hamza Belhaj Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 2015-07-17
1669865069 Siew-ging Gong Dentist 2681 W Grand Blvd, Detroit, MI 48208-1233 2015-03-09
1265830756 Caring Dentistry of Detroit Dentist 1001 W 7 Mile Rd, Detroit, MI 48203-1929 2014-12-15
1760887020 Monument Dental PC Dentist 15510 Livernois Avenue, Detroit, MI 48238 2014-10-29
1376981530 Basam Shamo Dentist 3670 Woodward Ave Ste 101b, Detroit, MI 48201-2456 2013-06-10
1639414626 Prettysmilesdenturesandmorellc Dentist 19123 West Mcnichols Rd, Detroit, MI 40219 2012-12-03
1245574854 Merrill Lenore Perlow Dentist 2217 Springwells St, Detroit, MI 48209-1509 2012-11-20
1245598770 Mohamed M Mansour Dentist 2700 Mlk Jr Blvd, University of Detroit Mercy,school of Dentistry, Detroit, MI 48208-2576 2012-05-03
1417223298 Paula G Carson Dds PC Dentist 18616 W Mcnichols Rd, Detroit, MI 48219-4160 2012-03-27
1205103728 Lauren Rush Dentist 60 E Warren Ave Fl 2, Detroit, MI 48201 2011-11-29
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Competitor

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City DETROIT
Zip Code 48215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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