Active NPIIndividual providerSole proprietor

Dr. Ibrahim I Mirkhan, DMD

Dentist in Ridgewood, New Jersey

NPI Number1780739326
Practice location
60 W Ridgewood Ave, Suite8, Ridgewood, NJ 07450-3197
Fax
201-444-3262
Last updated
July 8, 2007

Ibrahim I Mirkhan is a Dentist based in Ridgewood, NJ. Ibrahim I Mirkhan practices in Ridgewood, NJ and has the professional credentials of DMD. The NPI Number for Ibrahim I Mirkhan is 1780739326 and holds a License No. 20915 (NJ). The current practice location address for Ibrahim I Mirkhan is 60 W Ridgewood Ave, Suite8, Ridgewood, NJ 07450-3197 and can be reached out via phone at 201-444-2450 and via fax at 201-444-3262.

Provider Profile Details

NPI Number
1780739326
Provider Name
Ibrahim I Mirkhan
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
60 W Ridgewood Ave, Suite8, Ridgewood, NJ 07450-3197
Phone Number
201-444-2450
Fax Number
201-444-3262
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
January 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 W Ridgewood Ave
Suite8
Ridgewood, NJ 07450-3197
Zip
07450-3197
Phone Number
201-444-2450
Fax Number
201-444-3262
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
60 W Ridgewood Ave
Suite8
Ridgewood, NJ 07450-3197
City
Ridgewood
State
NJ
Zip
07450-3197
Phone Number
201-444-2450
Fax Number
201-444-3262

License Information

License Number
20915
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ibrahim I Mirkhan, DMD?

The NPI number of Dr. Ibrahim I Mirkhan, DMD is 1780739326. It was assigned on January 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Ibrahim I Mirkhan, DMD?

Dr. Ibrahim I Mirkhan, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 20915.

Where does Dr. Ibrahim I Mirkhan, DMD practice?

The practice location is 60 W Ridgewood Ave, Suite8, Ridgewood, NJ 07450-3197. The office can be reached at 201-444-2450 (phone) or 201-444-3262 (fax).

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 1780739326 directly on the NPPES registry website.

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