Healthcare Provider Details

I. General information

NPI: 1962349365
Provider Name (Legal Business Name): KARAM KASSIR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4224 E 10 MILE RD
WARREN MI
48091-1577
US

IV. Provider business mailing address

46648 HAMPTON DR
SHELBY TOWNSHIP MI
48315-5640
US

V. Phone/Fax

Practice location:
  • Phone: 586-756-6351
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901603015
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: