Mariam Atisha, DDS

General Practice Dentistry · Livonia, MI

Individual Active NPI

NPI number 1063145977

Practice location

33428 Five Mile Rd
Livonia, MI 48154-2860
Phone
(734) 427-7555

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NPI record

NPI
1063145977
Entity type
Individual (Type 1)
Enumeration date
July 7, 2022
Last updated
August 26, 2025
Certified
August 26, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901601479 MI

Mailing address

4144 Meadow Way
Bloomfield Hills, MI 48301-1214
Phone
(248) 764-8309

Other practice locations (1)

  • 3415 Livernois Rd, Troy, MI 48083-5063 · (248) 519-1919

About Dr. Atisha

Mariam Atisha, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 33428 Five Mile Rd, Livonia, MI 48154-2860. The NPI number 1063145977 was assigned on July 7, 2022 and the record was last updated on August 26, 2025.

Dr. Atisha lists a license in the registry: #2901601479 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mariam Atisha, DDS?

The NPI number is 1063145977.

What is the phone number of Dr. Atisha?

The phone number listed for the practice location is (734) 427-7555.

Where is Dr. Atisha located?

33428 Five Mile Rd, Livonia, MI 48154-2860.

What is the taxonomy code for Dr. Atisha?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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