MONA RIZK IBRAHIM DDS MPH MS NPI 1093846974

NPI Information

NPI: 1093846974
Provider Name: MONA RIZK IBRAHIM, DDS, MPH, MS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

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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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
1	1223P0221X	Dentist	Pediatric Dentistry		MICHIGAN	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	3191980	MEDICAID	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

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