NPIMap

Organization Active NPI

Khalil Abdul Abdallah PLLC

  • Dentist
  • Clinton Township, MI
National Provider Identifier
1508679549
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KHALIL ABDUL ABDALLAH PLLC
Practice address
37020 Garfield Rd Ste T-4
Clinton Township, MI 48036-3645
Phone
(586) 263-4060
NPI assigned
Jan 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Khalil Abdul Abdallah, DDSNPI 1831758226
Title
Member
Phone
(313) 354-4419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

37020 Garfield Rd Ste T-4
Clinton Township, MI 48036-3645

Mailing address

37020 Garfield Rd Ste T-4
Clinton Township, MI 48036-3645
Phone (586) 263-4060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1508679549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37020 GARFIELD RD STE T-4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363645",
            "telephone_number": "586-263-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37020 GARFIELD RD STE T-4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363645",
            "telephone_number": "586-263-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALIL ABDUL ABDALLAH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-354-4419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.