Idiris Ibrahim

General Practice Dentistry · Concord Township, OH

Individual Active NPI

NPI number 1164270641

Practice location

8245 Auburn Rd
Concord Township, OH 44077-9786
Phone
(440) 856-7301

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NPI record

NPI
1164270641
Entity type
Individual (Type 1)
Enumeration date
May 9, 2024
Last updated
May 9, 2024
Certified
May 9, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 30.027488 OH

About Idiris Ibrahim

Idiris Ibrahim is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8245 Auburn Rd, Concord Township, OH 44077-9786. The NPI number 1164270641 was assigned on May 9, 2024 and the record was last updated on May 9, 2024.

Idiris Ibrahim lists a license in the registry: #30.027488 (OH) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Idiris Ibrahim?

The NPI number is 1164270641.

What is the phone number of Idiris Ibrahim?

The phone number listed for the practice location is (440) 856-7301.

Where is Idiris Ibrahim located?

8245 Auburn Rd, Concord Township, OH 44077-9786.

What is the taxonomy code for Idiris Ibrahim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.