IBRAHIM MOHMAD AL-QAWAQNEH DDS NPI 1194805887

NPI Information

NPI: 1194805887
Provider Name: IBRAHIM MOHMAD AL-QAWAQNEH, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1719 W ROMNEYA DR
ANAHEIM, CA
ZIP 92801
Phone: (714) 991-3900
Get Directions

Ibrahim Mohmad Al-qawaqneh, DDS is a general practice dentist in Anaheim, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Ibrahim Mohmad Al-qawaqneh, DDS NPI is 1194805887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1719 W ROMNEYA DR
ANAHEIM, CA
ZIP 92801-804
Phone: (714) 991-3900
Fax: (714) 991-3999

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	46726	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G9276201	OTHER	CALIFORNIA	DENTI-CAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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