Rima Bazzi, D.D.S.
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Canton, MI
NPI 1356308258 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1356308258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 2901017749 (MI)
- Practice address
- 1325 N Canton Center Rd
Canton, MI 48187-2950 - Phone
- (734) 455-0095
- Fax
- (734) 455-0099
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220128001315 | MI | Practitioner - Oral Surgery |
6406835719 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901017749 | MI | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contemporary Dentistry Center Dearborn PLLC | Current |
Accepting new patients | |
| Contemporary Dentistry P.C. | Past |
Accepting new patients | |
| Oral and Maxillofacial Surgery Associates of Michigan, P.C. | Past | Accepting new patients |
Locations
5211 Schaefer Rd
Ste 100
Dearborn, MI 48126
Phone (313) 581-4884
5211 Schaefer Rd
Dearborn, MI 48126
Phone (313) 581-4884
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901017749 | MI | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2901017749 | MI | Yes |
Addresses
Primary practice location
1325 N Canton Center Rd
Canton, MI 48187-2950
Mailing address
1325 N Canton Center Rd
Canton, MI 48187-2950
Phone (734) 455-0095
Other names
- Mrs. Rima Atoui Bazzi
Other providers in Canton, MI
- Bazzi Properties, LLC
- Hussein Bazzi
- Marwa Bazzi
- Mohamad Hassan Bazzi
- Nader Bazzi
- Beacon Hospice of Michigan LP
- Octavia Beal
- Tabithia Beavers
- John A Becker
- Madeline M Becker
All providers in Canton, MI · Oral and Maxillofacial Surgery (Dentist) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.