Joseph Azzouz, DDS
Dentist in Detroit, MI. Individual provider (NPI-1).
NPI number1104471887
StatusActive
Last updated in NPPESAug 8, 2019
Details
- NPI
- 1104471887
- Entity type
- Individual (NPI-1)
- Name
- Joseph Azzouz
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2019
- Last updated
- Aug 8, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2901600231 | MI | Yes |
| 1223G0001X | Dentist, General Practice | 2901600231 | MI |
Practice location
24366 Grand River AveDetroit, MI 48219-3098
Phone 248-924-7773
Mailing address
16968 Brooklane BlvdNorthville, MI 48168-8422
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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