IndividualActive
Mousa Ghannam, DMD
NPI 1407699440 · General Practice Dentistry · Detroit, MI
Mousa Ghannam, DMD is a General Practice Dentistry provider in Detroit, MI (NPI 1407699440).
Provider details
- NPI number
- 1407699440
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901602771 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
5705 W Vernor Hwy
Detroit, MI 48209-2157
Phone: (313) 842-3770
Street-level locationGet directions
Mailing address
5705 W Vernor Hwy
Detroit, MI 48209-2157
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Frequently asked questions
- What is Mousa Ghannam's NPI number?
- Mousa Ghannam's National Provider Identifier (NPI) is 1407699440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mousa Ghannam's specialty?
- Mousa Ghannam is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mousa Ghannam located?
- Mousa Ghannam's practice location on file with NPPES is 5705 W Vernor Hwy, Detroit, MI 48209-2157.
- What is Mousa Ghannam's phone number?
- The practice phone number listed in the NPPES registry for Mousa Ghannam is (313) 842-3770.
- Is Mousa Ghannam's NPI active?
- Yes — Mousa Ghannam's NPI (1407699440) is active in the NPPES registry as of the last update on 2026-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.