Devonn Eli Israil, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901601066 Issued in MI

Practice address

2300 Haggerty Rd Ste 2030
West Bloomfield, MI 48323-2189

Phone

(248) 669-6600

NPI assigned

Jun 25, 2020

Last updated

Jul 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Interoperability endpoints

• Direct secure messaging: disrail920171@epic00.corewelldirect.org

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.

• Jeffrey S. Cohen DDS PC

  dba Lakes Oral and Maxillofacial Surgery PC

  • Specialist
  • West Bloomfield, MI
  • NPI 1922261783
  NPD

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1932725959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2030",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232189",
            "telephone_number": "248-669-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2030",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232189",
            "telephone_number": "248-669-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAIL",
        "first_name": "DEVONN",
        "middle_name": "ELI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901601066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Isherwood I, PA-C
• Jessica Sassine Isho, PA-C
• Sayedul Islam
• Amanda Ismail, MD
• Manal Ismail
• Hiba Nabil Issa
• Ghalib Issaq, D.D.S.
• J. Kahn Corporation
• Joleen Jabro
• Diane M. Jackson-Richards, M.D.

• Oral and Maxillofacial Surgery (Dentist) in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.