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DR AHMAD A. BEYDOUN DDS PC NPI 1154433522


NPI Information

NPI: 1154433522
Provider Name: DR AHMAD A. BEYDOUN DDS , PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10033 VERNOR HWY
DEARBORN, MI
ZIP 48120
Phone: (313) 843-6530
Get Directions

DR AHMAD A. BEYDOUN DDS , PC is a general practice dentist in Dearborn, MI. The provider is 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. DR AHMAD A. BEYDOUN DDS , PC NPI is 1154433522. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10033 VERNOR HWY
DEARBORN, MI
ZIP 48120-513
Phone: (313) 843-6530
Fax: (313) 843-1410

The provider's authorized official is Ahmad A Beydoun .
The authorized official title is Dentist and has the following contact phone number (313) 843-6530.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice16362MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14881109MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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