Aicha Benbrahim, DDS
Individual provider Active NPI Dentist · Marysville, CA
NPI 1003918756 · NPPES record last updated Jul 22, 2019
Key facts
- NPI
- 1003918756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 51896 (CA)
- Practice address
- 1601 B St Ste a
Marysville, CA 95901-4214 - Phone
- (530) 741-1048
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51896 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benbrahim Dental Corporation | Dentist | Current |
Accepting new patients |
Locations
1601 B St
Ste A
Marysville, CA 95901
Phone (530) 741-1048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 51896 | CA | Yes |
Addresses
Primary practice location
1601 B St Ste a
Marysville, CA 95901-4214
Mailing address
1601 B St Ste a
Marysville, CA 95901-4214
Phone (916) 580-3945
Other practice location 1
1042 Thornhill Ln
Lincoln, CA 95648-3292
Phone (916) 580-3945
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.