# AHMAD I SHANNIR DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124554886
- **Authorized official:** AHMAD I SHANNIR DDS (OWNER)
- **Authorized official phone:** (313) 271-4500

## Contact information

- **Practice address:** 18901 W WARREN AVE, DETROIT, MI 48228-3311
- **Practice address phone:** (313) 271-4500
- **Practice address fax:** (313) 271-4545
- **Mailing address:** 18901 W WARREN AVE, DETROIT, MI 48228-3311
- **Mailing address phone:** (313) 271-4500
- **Mailing address fax:** (313) 271-4545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901016116 | MI | Yes |

## Other

- **Enumeration date:** 05/02/2017
- **Last updated:** 05/02/2017