Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Davren Dawisha, DMD

Individual provider Dentist · NPI 1588395495

Dr. Davren Dawisha, DMD is a Dentist in Hazel Park, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

23528 John R Rd
Hazel Park, MI 48030-1409
Phone: (248) 397-1165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901601320 (MI)

Record details

NPI number1588395495
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 21, 2022
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022

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