Active NPI
Mohammad Hammoud
- General Practice Dentistry
- Dearborn, MI
National Provider Identifier
1649017518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901602065
- Practice address
- 23923 Michigan Ave
Dearborn, MI 48124-1838 - Phone
- (313) 561-1260
- NPI assigned
- Jul 9, 2024
- Last updated
- Jan 16, 2026
- Sex
- Male
- 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 | 2901602065 | MI | Primary |
Addresses
Primary practice location
23923 Michigan Ave
Dearborn, MI 48124-1838
Mailing address
23363 Suncrest St
Dearborn Heights, MI 48127-2351
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 |
|---|---|---|---|
| 2901602065 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KP Premier Family Dental PLLC | General Practice | Current | Accepting new patients |
| Premier Family Dental | Current | Accepting new patients | |
| Hammoud Dentistry PLLC | General Practice | Current | Accepting new patients |
| Smiles & Moore Dental PC | Past | Accepting new patients |
Locations
8133 Commerce Rd
Commerce Twp, MI 48382
Phone (248) 509-5555
23923 Michigan Ave
Dearborn, MI 48124
Phone (313) 561-1260
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Dearborn, MI
- NPI 1104784404
-
- General Practice Dentistry
- Commerce Township, MI
- NPI 1760276323
-
- Dental Clinic/Center
- Commerce Township, MI
- NPI 1427678457
-
- Dentist
- Dearborn, MI
- NPI 1487379012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1649017518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23363 SUNCREST ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23923 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241838",
"telephone_number": "313-561-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOUD",
"first_name": "MOHAMMAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-09",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901602065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.