Fayrouz Alkhouri

Individual provider Active NPI General Practice Dentistry · Commerce Township, MI

NPI 1417681925 · NPPES record last updated Jul 11, 2022

Key facts

NPI
1417681925
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2901601409 (MI)
Practice address
8437 Richardson Rd
Commerce Township, MI 48390
Phone
(989) 971-7440
NPI assigned
Jul 11, 2022
Sex
Female
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
2901601409MIMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901601409 MI Yes

Addresses

Primary practice location

8437 Richardson Rd
Commerce Township, MI 48390

Mailing address

30208 Southfield Rd Apt 221
Southfield, MI 48076-1322
Phone (619) 933-5184

Other providers in Commerce Township, MI

All providers in Commerce Township, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.