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

Dr. Mousa Ghannam, DMD

Individual provider General Practice Dentistry · NPI 1407699440

Dr. Mousa Ghannam, DMD is a General Practice Dentistry in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
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

5705 W Vernor Hwy
Detroit, MI 48209-2157
Phone: (313) 842-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901602771 (MI)

Record details

NPI number1407699440
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address5705 W Vernor Hwy, Detroit, MI 48209-2157

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