ABRAHAM LAWRENCE AZZOUZ D.D.S. NPI 1710945308

NPI Information

  • NPI: 1710945308
  • Provider Name: ABRAHAM LAWRENCE AZZOUZ, D.D.S.
  • Classification: Dental Assistant - 126800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24366 GRAND RIVER AVE
    SUITE 111
    DETROIT, MI
    ZIP 48219
  • Phone: (313) 535-2273

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NPI Details

Abraham Lawrence Azzouz, D.D.S. is a dental assistant in Detroit, MI. The provider is an individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. Abraham Lawrence Azzouz, D.D.S. NPI is 1710945308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24366 GRAND RIVER AVE
SUITE 111
DETROIT, MI
ZIP 48219-063
Phone: (313) 535-2273
Fax: (313) 535-5212

The NPI 1710945308 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/3/2006 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2901015675MICHIGANNo
2124Q00000XDental Hygienist2902014138MICHIGANNo
3126800000XDental AssistantYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
115675OTHERMICHIGANDELTA
23197750MEDICAIDMICHIGAN
3873745OTHERUNITED CONCORDIA
4D800185OTHERMICHIGANBLUE CROSS BLUE SHEILD

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: 11/21/2025

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