Alvin Yousif Daboul, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901019855 Issued in MI

Practice address

3213 Rochester Rd
Royal Oak, MI 48073-3553

Phone

(248) 629-1830

NPI assigned

Oct 28, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Oaks Dental PLLC

  • Dentist
  • Royal Oak, MI
  • NPI 1588962351
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1033362793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 ROCHESTER RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733553",
            "telephone_number": "248-629-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 ROCHESTER RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733553",
            "telephone_number": "248-629-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABOUL",
        "first_name": "ALVIN",
        "middle_name": "YOUSIF",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901019855",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore J. D'Anna, CRNA
• Erika D'Aoust, NP-C
• Anthony J D'Errico, D.O.
• Kamille D'Valentine, OTR
• Rebecca Da Silva
• Christopher Deeb Dado, M.D.
• Kathleen Marie-Mifsud Daibess, OTR/L
• Heather Daiza, FNP-C
• Bhavinkumar Dalal, MD
• Molly Daley

• Dentist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.