Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Ghanem M. Ghannam, D.D.S.

Oral and Maxillofacial Surgery (Dentist) in Detroit, MI · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770612780

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Registry record

Entity type Individual (Type 1)

Name Dr. Ghanem M. Ghannam

Credential D.D.S.

Sex Male

Practice address 5705 W Vernor Hwy, Detroit, MI, 48209

Phone (313) 842-3770

Enumeration date Mar 5, 2007

Last updated in NPPES Aug 8, 2024

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 014082 (MI) Secondary

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 014082 (MI) Primary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier	Type	State	Issuer
1692476	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ghanem Ghannam?

The National Provider Identifier (NPI) for Ghanem Ghannam is 1770612780, a Type 1 (individual) record in the CMS NPPES registry.

Where does Ghanem Ghannam practice?

The practice location on file with NPPES is in Detroit, MI. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-08.