Provider Demographics
NPI:1780602656
Name:LAMMAM, AZIZ GEORGE (DDS)
Entity type:Individual
Prefix:DR
First Name:AZIZ
Middle Name:GEORGE
Last Name:LAMMAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29704 ENGLISH WAY
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2033
Mailing Address - Country:US
Mailing Address - Phone:248-669-1122
Mailing Address - Fax:
Practice Address - Street 1:29704 ENGLISH WAY
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2033
Practice Address - Country:US
Practice Address - Phone:248-669-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010167521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice