G Ghannam D D S
NPI 1255508800 · Dental Clinic/Center · Detroit, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
G Ghannam D D S is a Dental Clinic/Center organization in Detroit, MI (NPI 1255508800).
Provider details
- NPI number
- 1255508800
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ghanem Ghannam, Sole Owner(313) 842-3770
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-13
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is G Ghannam D D S's NPI number?
- G Ghannam D D S's National Provider Identifier (NPI) is 1255508800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is G Ghannam D D S?
- G Ghannam D D S is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is G Ghannam D D S located?
- G Ghannam D D S's practice location on file with NPPES is 5705 W Vernor Hwy, Detroit, MI 48209-2157.
- What is G Ghannam D D S's phone number?
- The practice phone number listed in the NPPES registry for G Ghannam D D S is (313) 842-3770.
- Does G Ghannam D D S accept Medicare?
- G Ghannam D D S is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for G Ghannam D D S?
- The authorized official listed on G Ghannam D D S's NPPES record is Ghanem Ghannam, Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is G Ghannam D D S's NPI active?
- Yes — G Ghannam D D S's NPI (1255508800) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.