Individual provider Active NPI

Mohammad Hammoud

  • General Practice Dentistry
  • Dearborn, MI
National Provider Identifier
1649017518
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901602065 Issued in MI
Practice address
23923 Michigan Ave
Dearborn, MI 48124-1838
Phone
(313) 561-1260
NPI assigned
Jul 9, 2024
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2901602065MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
KP Premier Family Dental PLLC General Practice CurrentSince Apr 13, 2025 Accepting new patients
Premier Family Dental CurrentSince Jul 21, 2024 Accepting new patients
Hammoud Dentistry PLLC General Practice Current Accepting new patients
Smiles & Moore Dental PC PastSince Oct 9, 2022 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.

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.

Verify at the official NPI Registry.