Individual provider Active NPI

Hassan Sabieddine, DDS

  • Dentist
  • Sterling Heights, MI
National Provider Identifier
1710876537
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901602540 Issued in MI
Practice address
39242 Dequindre Rd Ste 102
Sterling Heights, MI 48310-1764
Phone
(248) 528-3300
NPI assigned
Jun 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901602540 MI Primary

Addresses

Primary practice location

39242 Dequindre Rd Ste 102
Sterling Heights, MI 48310-1764

Mailing address

2717 Aspen Ridge Dr
Ann Arbor, MI 48103-8928
Phone (586) 224-5260

Other practice location 1

24366 Grand River Ave
Detroit, MI 48219-3098
Phone (313) 535-2273

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
2901602540MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1710876537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 ASPEN RIDGE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038928",
            "telephone_number": "586-224-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE RD STE 102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483101764",
            "telephone_number": "248-528-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24366 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482193098",
            "country_code": "US",
            "telephone_number": "313-535-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABIEDDINE",
        "first_name": "HASSAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.