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Provider Information for 1205966827

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. CHARLES SAAD CHOUEIRY DDS

Gender: MALE

Individual NPI: 1205966827

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1205966827
Enumeration Date 2007-03-06
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 418 N CENTER ST
NORTHVILLE, MI 48167-1283
United States

Phone: 248-349-3636 | Fax: 248-349-7014
View Map External Link
Primary Practice Address 418 N CENTER ST
NORTHVILLE, MI 48167-1283
United States

Phone: 248-349-3636 | Fax: 248-349-7014
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice MI 2901019001