Active NPI
Jodie Al-Jarrah, DDS
- General Practice Dentistry
- Garden City, MI
National Provider Identifier
1194539320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901602425
- Practice address
- 6755 Merriman Rd Ste 1
Garden City, MI 48135-1978 - Phone
- (734) 680-0420
- NPI assigned
- Feb 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901602425 | MI | Primary |
Addresses
Primary practice location
6755 Merriman Rd Ste 1
Garden City, MI 48135-1978
Mailing address
221 Charing Cross CT
Bloomfield Hills, MI 48304-3507
Phone (248) 895-2363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901602425 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amazing Dental PLLC | Current | Accepting new patients |
Locations
6755 Merriman Rd
Ste 1
Garden City, MI 48135
Phone (734) 680-0420
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Southfield, MI
- NPI 1134755317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1194539320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 CHARING CROSS CT",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483043507",
"telephone_number": "248-895-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6755 MERRIMAN RD STE 1",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481351978",
"telephone_number": "734-680-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-JARRAH",
"first_name": "JODIE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-06",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901602425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.