MEDICARE: KARIM DENTAL GROUP, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1053991703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARIM DENTAL GROUP, PLLC

Provider Business Mailing Address
First Line	:	35733 MINTON ST
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-2593
Country	:	US
Telephone Number	:	586-383-3152
Fax Number	:

Provider Business Practice Location Address
First Line	:	7110 HIGHLAND RD # 2851
Second Line	:
City	:	WHITE LAKE
State	:	MI
Zip	:	48383-2851
Country	:	US
Telephone Number	:	248-887-8387
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ENAS KARIM
Credential	:	DDS
Telephone Number	:	586-383-3152

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	04/08/2021

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