Mohammed Sobh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600162 Issued in MI

Practice address

14639 Ford Rd
Dearborn, MI 48126-3173

Phone

(313) 582-1960

Fax

(313) 582-2414

NPI assigned

Jun 19, 2019

Sex

Male

Sole proprietor

No

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.

• All Star Kids Pediatric Dentistry

  • Dental Clinic/Center
  • Dearborn Heights, MI
  • NPI 1285490441
  NPD (past) Authorized official
• Crescent Lake Dental Care PLLC

  • Dental Clinic/Center
  • Waterford, MI
  • NPI 1124884366
  NPD (past) Authorized official
• Ali a Sobh DDS PC

  • General Practice Dentistry
  • Dearborn, MI
  • NPI 1780937425

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2024.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1962062125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 N DENWOOD ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281156",
            "telephone_number": "313-663-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14639 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263173",
            "telephone_number": "313-582-1960",
            "fax_number": "313-582-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBH",
        "first_name": "MOHAMMED",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841864781",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "e.m1106@yahoo.com",
            "affiliation": "N",
            "address_1": "14639 Ford Rd",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481263173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Iman Sobh
• Mariam Sobh
• Meera Sobh
• Mohamad A Sobh, D.O., RPH.
• Mohamed Mahmoud Sobh
• Nicole Marie Sobh, LMSW
• Saja Sobh, LLMSW
• Sareen Sobh
• Caesar Villarez Sobredilla
• Social Justice LR Corp Management Holdings

• All providers in Dearborn, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.