# JOHN J. ABDELMESSIH DDSS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crestwood Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972600070
- **Authorized official:** DR. JOHN J ABDELMESSIH D.D.S. (PRESIDENT)
- **Authorized official phone:** (248) 620-5420

## Contact information

- **Practice address:** 6887 DIXIE HWY, CLARKSTON, MI 48346-5107
- **Practice address phone:** (248) 620-5420
- **Practice address fax:** (248) 620-2036
- **Mailing address:** 6887 DIXIE HWY, CLARKSTON, MI 48346-5107
- **Mailing address phone:** (248) 620-5420
- **Mailing address fax:** (248) 620-2036

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4778171 | — | MI |