Odette Roye Haouilou, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

17494 Issued in MI

Practice address

12807 W Warren Ave
Dearborn, MI 48126-1532

Phone

(313) 582-1400

Fax

(313) 526-9907

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smile Envy PLLC

  • General Practice Dentistry
  • Farmington Hills, MI
  • NPI 1841982626
  NPD Authorized official
• Happy Teeth Dental PLLC.

  • Dentist
  • Dearborn, MI
  • NPI 1295137644
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1922185982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 VERNIER",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "48225",
            "telephone_number": "313-521-2070",
            "fax_number": "313-526-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12807 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261532",
            "telephone_number": "313-582-1400",
            "fax_number": "313-526-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAOUILOU",
        "first_name": "ODETTE",
        "middle_name": "ROYE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "17494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4478059",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Hansen
• Nia Simone Hanserd
• Benjamin V Hanson
• Hany Deirawan MD PLLC
• Richard Garrett Hanzel, D.O.
• Happy Teeth Dental PLLC.
• Mahfujul Haque, MD
• Nasrin Haque
• Shamael Haque, D.O.
• Jenna Harajli

• Dentist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.