Healthcare Provider Details

I. General information

NPI: 1700779774
Provider Name (Legal Business Name): DANI Z BRIKHO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 HURON ST
NORTH BRANCH MI
48461-8152
US

IV. Provider business mailing address

44611 MERRILL RD
STERLING HEIGHTS MI
48314-1452
US

V. Phone/Fax

Practice location:
  • Phone: 810-688-3008
  • Fax:
Mailing address:
  • Phone: 248-914-1553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901602536
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: