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

Dr. Mazen Khaled Aly, BDS, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407589344

Dr. Mazen Khaled Aly, BDS, DDS is a Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan. Works from 2 locations. Licensed in Michigan and Texas.

Licensed in
MI, TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4860 Washtenaw Ave Ste D
Ann Arbor, MI 48108-3401
Phone: (734) 263-7545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5979 Highland Rd, Waterford Township, MI 48327 — (947) 999-9909

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901601632 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence ETN960 (TX)

Record details

NPI number1407589344
Entity typeIndividual (Type 1)
GenderMale
Credentials BDS , DDS
Sole proprietorNo
NPI enumeratedJuly 7, 2022
Last updated in NPPESJuly 21, 2023
Certification dateJuly 19, 2023

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