Active NPI
Dentist
- Dentist
- Livonia, MI
National Provider Identifier
1891628848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DENTIST
- Practice address
- 36000 Five Mile Rd
Livonia, MI 48154-1918 - Phone
- (313) 797-1077
- Fax
- (313) 797-1077
- NPI assigned
- Jun 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ibrahim Zeitoun, DMD
- Title
- Dentist
- Phone
- (313) 797-1077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
36000 Five Mile Rd
Livonia, MI 48154-1918
Mailing address
6452 Jonathon St
Dearborn, MI 48126-2230
Phone (313) 797-1077
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dentist
- Walled Lake, MI
- NPI 1982858288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780876800000",
"number": "1891628848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6452 JONATHON ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262230",
"telephone_number": "313-797-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36000 FIVE MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541918",
"telephone_number": "313-797-1077",
"fax_number": "313-797-1077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTIST",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A",
"authorized_official_last_name": "ZEITOUN",
"authorized_official_first_name": "IBRAHIM",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "313-797-1077",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.