Walleed Mammo DDS,P.C and Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901015678 Issued in MI

Legal business name

WALLEED MAMMO DDS,P.C AND ASSOCIATES

Practice address

35450 Dequindre Rd
Suit 101
Sterling HTS, MI 48310-4810

Phone

(586) 264-6550

NPI assigned

Mar 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Waleed Mammo, DDSNPI 1598939811

Title

Owner Dentist

Phone

(248) 217-9087

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Waleed A Mammo, DDS

  • Dentist
  • Sterling Heights, MI
  • NPI 1598939811
  NPD (past) Authorized official

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720102676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35450 DEQUINDRE RD",
            "address_2": "SUIT 101",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483104810",
            "telephone_number": "586-264-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35450 DEQUINDRE RD",
            "address_2": "SUIT 101",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483104810",
            "telephone_number": "586-264-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLEED MAMMO DDS,P.C AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAMMO",
        "authorized_official_first_name": "WALEED",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "248-217-9087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Van Dyke, PH.D.
• Barbara Ann Vanderhagen, CPHT
• Vision Institute of Michigan PC
• Vision Institute of Michigan PC
• Vision Institute of Michigan PC
• Wellness Care
• Melanie Jennifer Wisdom
• Vicki Wright-Trimboli, LPC, CRC
• Junhong Yang, DDS
• Salvana Yatouma

• General Practice Dentistry in Sterling HTS, MI
• Providers in Sterling HTS, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.