Healthcare Provider Details

I. General information

NPI: 1063349157
Provider Name (Legal Business Name): TAUFIC NAHHAS DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32520 MOUND RD
WARREN MI
48092-3870
US

IV. Provider business mailing address

32520 MOUND RD
WARREN MI
48092-3870
US

V. Phone/Fax

Practice location:
  • Phone: 586-422-1420
  • Fax: 586-422-1430
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: TAUFIC NAHHAS
Title or Position: OWNER
Credential: DMD
Phone: 313-478-5126