Provider Demographics
NPI:1447066550
Name:KASSIR, RAMIZ ABDULAHAD (DDS)
Entity type:Individual
Prefix:
First Name:RAMIZ
Middle Name:ABDULAHAD
Last Name:KASSIR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46648 HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-5640
Mailing Address - Country:US
Mailing Address - Phone:586-488-8228
Mailing Address - Fax:
Practice Address - Street 1:46648 HAMPTON DR
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-5640
Practice Address - Country:US
Practice Address - Phone:586-488-8228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111057122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist