# JACOB KAWWAS DDS PLLC

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

## Provider details

- **NPI number:** 1164333936
- **Authorized official:** JACOB KAWWAS DDS (DENTIST)
- **Authorized official phone:** (248) 974-4574

## Contact information

- **Practice address:** 6024 W MAPLE RD STE 105, WEST BLOOMFIELD, MI 48322-4405
- **Practice address phone:** (248) 974-4574
- **Mailing address:** 1539 COLE ST, BIRMINGHAM, MI 48009-7063

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2026
- **Last updated:** 09/14/2026