Healthcare Provider Details

I. General information

NPI: 1215846191
Provider Name (Legal Business Name): KAMIL ABRAHAM DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 CROOKS RD
ROYAL OAK MI
48073-2490
US

IV. Provider business mailing address

3400 CROOKS RD
ROYAL OAK MI
48073-2490
US

V. Phone/Fax

Practice location:
  • Phone: 248-541-1388
  • Fax:
Mailing address:
  • Phone: 248-541-1388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KAMIL ABRAHAM
Title or Position: CEO
Credential: DDS
Phone: 313-410-2750