Abduljalil Al-Hajjaj, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901022571 Issued in MI

Practice address

26113 Hoover Rd
Warren, MI 48089-1147

Phone

(586) 393-5686

NPI assigned

May 21, 2018

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

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.

• Nova Dental PLLC

  • General Practice Dentistry
  • Dearborn, MI
  • NPI 1174127856
  NPD Authorized official
• Aq Dental Group PLLC

  • Dentist
  • Dearborn, MI
  • NPI 1194323303
  NPD (past) Authorized official
• Pro Dental Mi 1 PC

  • General Practice Dentistry
  • Warren, MI
  • NPI 1144057423
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1962993568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 JONATHON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26113 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891147",
            "telephone_number": "586-393-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10413 Ford rd",
            "address_2": "unit # N",
            "address_purpose": "LOCATION",
            "city": "dearborn",
            "state": "MI",
            "postal_code": "48126",
            "country_code": "US",
            "telephone_number": "313-826-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-HAJJAJ",
        "first_name": "ABDULJALIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diala Al Rizk
• Dali Al Saud
• Shams Al Suhairi
• Hadeel Al Zawahreh, MD
• Melina Al-Attar
• Rami Haitham Al-Handola, MD
• Anthony Al-Khafaji
• Jasmine Al-Sheikh, LMSW
• Sariea Al-Smoudi, D.O.
• Nadia Grace Al'Naimi, MS, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.