Dr Mib DDS PLLC

Dentist · Herndon, VA

Organization Active NPI

NPI number 1902487150

Practice location

12973 Highland Crossing Dr Ste B
Herndon, VA 20171-5890
Phone
(703) 953-3307

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NPI record

NPI
1902487150
Entity type
Organization (Type 2)
Enumeration date
April 19, 2021
Last updated
April 19, 2021
Certified
April 19, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — —

Mailing address

401 12TH St S Apt 1712
Arlington, VA 22202-4237
Phone
(703) 624-8188

Authorized official

Name
Dr. Mohamed Ibrahim, DDS
Title
Owner
Phone
(703) 624-8188

About Dr Mib DDS PLLC

Dr Mib DDS PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 12973 Highland Crossing Dr Ste B, Herndon, VA 20171-5890. The NPI number 1902487150 was assigned on April 19, 2021 and the record was last updated on April 19, 2021.

The authorized official for this organization is Dr. Mohamed Ibrahim, DDS, Owner.

Frequently asked questions

What is the NPI number of Dr Mib DDS PLLC?

The NPI number is 1902487150.

What is the phone number of Dr Mib DDS PLLC?

The phone number listed for the practice location is (703) 953-3307.

Where is Dr Mib DDS PLLC located?

12973 Highland Crossing Dr Ste B, Herndon, VA 20171-5890.

What is the taxonomy code for Dr Mib DDS PLLC?

The primary taxonomy code is 122300000X – Dentist.

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.

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