Ishaq Ghaleb Ali, D.D.S.
Individual provider Active NPI Dentist · Hamtramck, MI
NPI 1154486819 · NPPES record last updated Apr 20, 2012
Key facts
- NPI
- 1154486819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D7446 (AZ)
- Practice address
- 9811 Conant St
Hamtramck, MI 48212-3877 - Phone
- (313) 870-9423
- NPI assigned
- Dec 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7446 | AZ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D7446 | AZ | Yes |
Addresses
Primary practice location
9811 Conant St
Hamtramck, MI 48212-3877
Mailing address
31513 E Sianna Dr
Marana, AZ 85658-8840
Phone (520) 400-0023
Other providers in Hamtramck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.