OrganizationActive
Grand River Family Dentistry P.C.
NPI 1467401141 · General Practice Dentistry · Detroit, MI
Provider details
- NPI number
- 1467401141
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Abraham Azzouz, President Dentist(313) 535-2273
- License
- 2901015675 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
24366 Grand River Ave
Suite 111
Detroit, MI 48219-3063
Phone: (313) 535-2273
Fax: (313) 535-5212
Street-level locationGet directions
Mailing address
24366 Grand River Ave
Detroit, MI 48219-3063
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.