MONA RIZK IBRAHIM


Address: Detroit Health Dept. - Herman Kiefer Health Complex, 1151 Taylor Street, 7th Floor Pediatric Dental Clinic, Detroit, MI 48202-1732
Phone: 3138764087

MONA RIZK IBRAHIM (NPI# 1093846974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093846974
Entity Type Individual
Full Name MONA RIZK IBRAHIM
Credential DDS, MPH, MS
Practice Address Detroit Health Dept. - Herman Kiefer Health Complex
1151 Taylor Street, 7th Floor Pediatric Dental Clinic
Detroit
MI 48202-1732
Practice Telephone 3138764087
Practice Fax Number 3138711589
Mailing Telephone 3138764087
Mailing Fax Number 3138711589
Enumeration Date 2007-03-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
MI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 3191980 05

Other Providers MONA IBRAHIM

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1598146466 Mona Ibrahim Pharmacist 8500 W Capitol Dr, Milwaukee, WI 53222-1869 2015-06-16

Office Location

Street Address DETROIT HEALTH DEPT. - HERMAN KIEFER HEALTH COMPLEX
1151 TAYLOR STREET, 7TH FLOOR PEDIATRIC DENTAL CLINIC
City DETROIT
State MI
Zip Code 48202-1732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619009933 Christine L. Williams Dental Hygienist Detroit Health Dept. - Herman Kiefer Health Complex, 1151 Taylor Street, Adult Dental Clinic, Wing 1c, Detroit, MI 48202-1732 2007-03-12
1811029614 Indira D. Arya Dietitian, Registered Detroit Health Dept. - Herman Kiefer Health Complex, 1151 Taylor Street, Room 206c, Detroit, MI 48202-1732 2007-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
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1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669722856 Richard Iain Tann Dentist 79 W Alexandrine St Fl 3, Detroit, MI 48201-2015 2012-09-14
1801846985 James Patrick Stenger Dentist 79 W Alexandrine St, 3rd Floor, Detroit, MI 48201-2015 2006-05-11
1104482439 Childrens Dental Care of Detroit Dentist 430 Mack Ave, Detroit, MI 48201-2136 2019-05-13
1104307651 Fahad Siddiqui Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2018-08-23
1992165930 Rehab Alabduljabbar Dentist 2700 Mlk Jr Blvd, Detroit, MI 48208-2576 2016-03-03
1851751150 Thomas Veraldi, Dmd Residency and Hospital Practice, PC Dentist 79 W Alexandrine St, 3rd Flr, Detroit, MI 48201-2015 2016-02-29
1215215298 Deliver Dental Solutions, Inc. Dentist 79 W Alexandrine St, 3rd Floor, Detroit, MI 48201-2015 2011-07-25
1821304858 Kristen Charlene Ponichter Dentist 7633 E Jefferson Ave, Detroit, MI 48214-3730 2010-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033717558 Discover Smiles Pediatric Dentistry Dentist 2277 Science Pkwy Ste 2, Okemos, MI 48864-2551 2020-10-16
1740898873 Megan E Stowers Dds Ms Plc Dentist 7459 Middlebelt Rd Ste 1, West Bloomfield, MI 48322-4184 2020-07-15
1447884069 Jocelyn M. Robelli Dds, Ms, Pllc Dentist 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 2020-02-24
1457914038 Mitten Kids Dentistry Caledonia Plc Dentist 6477 Cherry Meadow Dr Se Ste 4, Caledonia, MI 49316-7351 2019-04-18
1780143982 Childrens Dental Specialists of Hazel Park Pllc Dentist 22241 John R Rd, Hazel Park, MI 48030-1716 2019-03-18
1487128120 Dental Group Associates PC Dentist 4505 Cascade Rd Se # B, Grand Rapids, MI 49546-8381 2019-01-16
1184194433 Pediatric Dental Specialists of West Michigan Dentist 2155 E Paris Ave Se Ste 120, Grand Rapids, MI 49546-6142 2018-11-29
1811465990 Kingma Pediatric Dentistry Pllc Dentist 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 2018-11-07
1407322548 Great Lakes Bay Pediatric Dentistry, Plc Dentist 5605 Colony Dr N Ste 2, Saginaw, MI 48638-7187 2018-10-16
1063987725 Little Red Pediatric Dentistry, Plc Dentist 12723 N Bellwood Dr Ste 20, Holland, MI 49424-7275 2018-10-09
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Competitor

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City DETROIT
Zip Code 48202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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