Kinaia, Bassam

Kinaia, Bassam is an individual health care provider with primary practice located at 3801 Metropolitan Pkwy , Sterling Heights MI 48310-3710. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Kinaia, Bassam can be contacted via phone (586) 275-7667.

Contact Information

Primary practice address
3801 Metropolitan Pkwy Sterling Heights MI 48310-3710
Fax: (586) 275-7872
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17676 Michigan
Dental Providers / Periodontics 1223P0300X 2901017676 Michigan

Profile Details

NPI number 1023160041
LBN Legal business name Kinaia, Bassam
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023160041 NPPES
Michigan Other 463306091 01
Michigan MEDICAID 4469514 01

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