Tarek Nabil Metwally
Dentist, Oral and Maxillofacial Surgery in South Lyon, MI. Individual provider (NPI-1).
NPI number1669965257
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1669965257
- Entity type
- Individual (NPI-1)
- Name
- Tarek Nabil Metwally
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2018
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MAXILLOFACIAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 2901022583 | MI | Yes |
Practice location
22180 Pontiac Trl Ste ASouth Lyon, MI 48178-9097
Phone 248-486-9202
Mailing address
42051 Mound RdSterling Heights, MI 48314-3143
Phone 586-323-7700
Other practice locations
Michigan Medicine, University Of Michigan Dept Of Omfs
1515 Hospital Dr. G1218 Towsley, Spc 5222
Ann Arbor, MI 48109-5222
1515 Hospital Dr. G1218 Towsley, Spc 5222
Ann Arbor, MI 48109-5222
Phone 734-232-4765
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