ISAM IBRAHIM, D.D.S. & ASSOCIATES (EASTWOOD MALL/NILES), INC. (NPI# 1609847888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609847888 |
| Entity Type | Organization |
| Organization Name | ISAM IBRAHIM, D.D.S. & ASSOCIATES (EASTWOOD MALL/NILES), INC. |
| Other Organization Name | DENTALWORKS OF EASTWOOD NILES |
| Practice Address |
5555 Youngstown Warren Rd Unit 908 Niles OH 44446-4810 |
| Mailing Address |
7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 |
| Practice Telephone | 3306520808 |
| Practice Fax Number | 2165841071 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | RACHEL NITTINGER (MANAGER CREDENTIALING) |
| Authorized Official Telephone | 9727550816 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTALONE PARTNERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
30.021252 | OH | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| DentalWorks of Eastwood Niles | Doing Business As Name - Organization |
| Street Address |
5555 YOUNGSTOWN WARREN RD UNIT 908 |
| City | NILES |
| State | OH |
| Zip Code | 44446-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811379399 | Apeksha Jain | Dentist | 5555 Youngstown Warren Rd Unit 908, Niles, OH 44446-4810 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554144 | Chhavi Karir | Student in an Organized Health Care Education/Training Program | 1801 Phoenix Pl, Unit 306, Niles, OH 44446 | 2020-03-27 |
| 1679030746 | Erica Lynne Forney | Massage Therapist | Fizek Fitness (erica’s Touch), 5555 Youngstown Warren Rd, Niles, OH 44446 | 2019-02-26 |
| 1316476690 | Travon Joshua Allen | Respite Care | 124 Summit Ave, Niles, OH 44446 | 2017-06-08 |
| 1326436205 | Cathy J. Carty | Social Worker | 6000 Youngstown - Warren Rd, Trumball County Educational Service Center, Niles, OH 44446 | 2014-12-31 |
| 1528463593 | Tracy Clark | Speech-Language Pathologist | 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 | 2014-11-03 |
| 1881007003 | Cynthia Ann Hoppert | Occupational Therapist | 6000 Youngstown - Warren Road, Niles, OH 44446 | 2014-06-05 |
| 1447688247 | Joyce Ann Agne Jones | Social Worker | 165 East Park Avenue, Niles, OH 44446 | 2013-10-15 |
| 1548508161 | Vicki M Orwig | Pharmacist | 5555 Niles-youngstown Road, Niles, OH 44446 | 2013-01-17 |
| 1558644062 | Rebekah Lee Utsinger | Pharmacist | 5027 Youngstown Rd, Niles, OH 44446 | 2011-09-21 |
| 1134442742 | Edmund Nathaniel Turner | Optometrist | 5320 Youngstown Ave., Niles, OH 44446 | 2010-03-10 |
| Find all providers in zip 44446 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626520 | Jelena Bulatovic | Dentist | 8131 W Elizabeth Ave, Niles, IL 60714-1718 | 2020-07-21 |
| 1790169076 | Parth Nanavati | Dentist | 9201 N Ashland Ave, Niles, IL 60714-1305 | 2015-07-16 |
| 1700158300 | Anna M Kanska-mcconkey | Dentist | 9020 N Milwaukee Ave, Niles, IL 60714-1537 | 2012-01-30 |
| 1255610812 | Orianna Albazi, Dds P.C. | Dentist | 8430 W Roseview Dr, Niles, IL 60714-1854 | 2011-08-12 |
| 1790930725 | Pedro A Rodriguez | Dentist | 680 Youngstown-warren Rd, Niles, OH 44446 | 2008-11-18 |
| 1366695751 | Michael Basheer Albazzaz | Dentist | 400 Golf Mill Ctr, Niles, IL 60714-1222 | 2008-10-29 |
| 1215146774 | Wayne Ng | Dentist | 7952 N Oconto Ave, Niles, IL 60714-2963 | 2007-05-22 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1518181627 | Julie Yunhui Lee | Dentist | 5622 W Touhy Ave, Niles, IL 60714 | 2007-04-12 |
| 1386769305 | Malgorzata Pienkowski Dds Ltd | Dentist | 8107 N Milwaukee Ave, Niles, IL 60714 | 2007-03-20 |
| Find all providers in NILES | ||||
Please comment or provide details below to improve the information on ISAM IBRAHIM, D.D.S. & ASSOCIATES (EASTWOOD MALL/NILES), INC..
| 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.