Healthcare Provider Details

I. General information

NPI: 1124941679
Provider Name (Legal Business Name): NOOR SALIH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 W JEFFERSON AVE
ECORSE MI
48229-1529
US

IV. Provider business mailing address

29233 DOVER AVE
WARREN MI
48088-3645
US

V. Phone/Fax

Practice location:
  • Phone: 313-381-7770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901603160
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: