Hussain Ali

Individual provider Active NPI General Practice Dentistry · Lake Orion, MI

NPI 1194524959 · NPPES record last updated Mar 12, 2025

Key facts

NPI
1194524959
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2901602464 (MI)
Practice address
1711 Algonquian TRL
Lake Orion, MI 48362-4010
Phone
(248) 821-1156
NPI assigned
Mar 12, 2025
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

LicenseStateTypeSpecialty
2901602464MIMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901602464 MI Yes

Addresses

Primary practice location

1711 Algonquian TRL
Lake Orion, MI 48362-4010

Mailing address

1711 Algonquian TRL
Lake Orion, MI 48362-4010

Other providers in Lake Orion, MI

All providers in Lake Orion, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.