Organization Active NPI

Dentist

  • Dentist
  • Livonia, MI
National Provider Identifier
1891628848
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Jun 8, 2026

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Ownership & 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.

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.

Verify at the official NPI Registry.