Provider Demographics
NPI:1811685076
Name:AL SAKKAL, ADEL (DDS)
Entity type:Individual
Prefix:
First Name:ADEL
Middle Name:
Last Name:AL SAKKAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:ADEL
Other - Middle Name:
Other - Last Name:AL-SAKKAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3280 ANN ARBOR SALINE RD APT 304
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9842
Mailing Address - Country:US
Mailing Address - Phone:810-444-3372
Mailing Address - Fax:
Practice Address - Street 1:1011 N UNIVERSITY AVE RM 2018
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-1078
Practice Address - Country:US
Practice Address - Phone:734-615-8057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2952000854122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist