Individual provider Active NPI

Zainab Al Naffakh

  • Dentist
  • Troy, MI
National Provider Identifier
1720788433
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601958 Issued in MI
Practice address
38921 Dequindre Rd
Troy, MI 48083-6818
Phone
(248) 879-7755
NPI assigned
Mar 9, 2023
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601958 MI Primary

Addresses

Primary practice location

38921 Dequindre Rd
Troy, MI 48083-6818

Mailing address

38921 Dequindre Rd
Troy, MI 48083-6818
Phone (248) 879-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311002412 MI Order and Referring Only - DentistPractitioner - Dentist 2466898689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Denal Care Dentist CurrentSince Nov 9, 2025 Accepting new patients

Locations

38921 Dequindre Rd
Troy, MI 48083
Phone (248) 879-7755

Organizations & group practices 1

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1720788433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38921 DEQUINDRE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836818",
            "telephone_number": "248-879-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38921 DEQUINDRE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836818",
            "telephone_number": "248-879-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL NAFFAKH",
        "first_name": "ZAINAB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.