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
Phone: (586) 275-7667
Fax: (586) 275-7872
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023160041 | NPPES |
Michigan | Other | 463306091 | 01 |
Michigan | MEDICAID | 4469514 | 01 |
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