Jonathan Ebrahim, DDS
Dentist in Clifton, New Jersey
1710665450- Practice location
- 1011 Clifton Ave Ste 2A, Clifton, NJ 07013-3518
- Phone
- 973-365-2620
- Fax
- —
- Last updated
- July 11, 2023
Jonathan Ebrahim is a Dentist based in Clifton, NJ. Jonathan Ebrahim practices in Clifton, NJ and has the professional credentials of DDS. The NPI Number for Jonathan Ebrahim is 1710665450 and holds a License No. 22DI02984700 (NJ). The current practice location address for Jonathan Ebrahim is 1011 Clifton Ave Ste 2A, Clifton, NJ 07013-3518 and can be reached out via phone at 973-365-2620.
Provider Profile Details
- NPI Number
- 1710665450
- Provider Name
- Jonathan Ebrahim
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1011 Clifton Ave Ste 2A, Clifton, NJ 07013-3518
- Phone Number
- 973-365-2620
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 11, 2023
- Last Update Date
- July 11, 2023
- Certification Date
- July 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1011 Clifton Ave Ste 2A
Clifton, NJ 07013-3518 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-3518
- Phone Number
- 973-365-2620
Provider Business Mailing Address Details
- Address
- 1011 Clifton Ave Ste 2A
Clifton, NJ 07013-3518 - City
- Clifton
- State
- NJ
- Zip
- 07013-3518
License Information
- License Number
- 22DI02984700
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Clifton, NJ
View all Dentists in Clifton →Frequently Asked Questions
What is the NPI number of Jonathan Ebrahim, DDS?
The NPI number of Jonathan Ebrahim, DDS is 1710665450. It was assigned on July 11, 2023 and is currently active in the NPPES registry.
What is the specialty of Jonathan Ebrahim, DDS?
Jonathan Ebrahim, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02984700.
Where does Jonathan Ebrahim, DDS practice?
The practice location is 1011 Clifton Ave Ste 2A, Clifton, NJ 07013-3518. The office can be reached at 973-365-2620 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710665450 directly on the NPPES registry website.