MONA RIZK IBRAHIM DDS MPH MS NPI 1093846974

NPI Information

  • NPI: 1093846974
  • Provider Name: MONA RIZK IBRAHIM, DDS, MPH, MS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: DETROIT HEALTH DEPT. - HERMAN KIEFER HEALTH COMPLEX
    1151 TAYLOR STREET, 7TH FLOOR PEDIATRIC DENTAL CLINIC
    DETROIT, MI
    ZIP 48202
  • Phone: (313) 876-4087

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NPI Details

Mona Rizk Ibrahim, DDS, MPH, MS is a pediatric dentistry dentist in Detroit, MI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Mona Rizk Ibrahim, DDS, MPH, MS NPI is 1093846974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

DETROIT HEALTH DEPT. - HERMAN KIEFER HEALTH COMPLEX
1151 TAYLOR STREET, 7TH FLOOR PEDIATRIC DENTAL CLINIC
DETROIT, MI
ZIP 48202-732
Phone: (313) 876-4087
Fax: (313) 871-1589

The enumeration date for this NPI number is 3/9/2007 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
11223P0221XDentistPediatric DentistryMICHIGANYes

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
13191980MEDICAIDMICHIGAN

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: 3/30/2025

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