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

Lidya Jirjis

Individual provider Dentist · NPI 1114417474

Lidya Jirjis is a Dentist in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576
Phone: (313) 494-6907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2951000446 (MI)
Dentist Taxonomy 122300000X · Licence 2901022753 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114417474
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 12, 2018
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

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