Provider Demographics
NPI:1962928382
Name:TULIPS FAMILY DENTAL PLLC
Entity type:Organization
Organization Name:TULIPS FAMILY DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ABDUS
Authorized Official - Last Name:SALAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-824-9164
Mailing Address - Street 1:9433 JOSEPH CAMPAU ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3435
Mailing Address - Country:US
Mailing Address - Phone:248-824-9164
Mailing Address - Fax:
Practice Address - Street 1:9433 JOSEPH CAMPAU ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3435
Practice Address - Country:US
Practice Address - Phone:248-824-9164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental