Ibrahim F Jarjoura, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D148180 Issued in MI

Practice address

8189 S Saginaw St Ste a
Grand Blanc, MI 48439-1825

Phone

(810) 695-1151

Fax

(810) 695-2086

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104834316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8189 S SAGINAW ST STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391825",
            "telephone_number": "810-695-1151",
            "fax_number": "810-695-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8189 S SAGINAW ST STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391825",
            "telephone_number": "810-695-1151",
            "fax_number": "810-695-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARJOURA",
        "first_name": "IBRAHIM",
        "middle_name": "F",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "D148180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D Walker II MD Medical Arts, PLLC
• Nada Jammoa, MD
• Meghan Jansen
• John Peter Janson, M.D.
• Alan Janssen, DO
• Daniel Arthur Jarmolinski, FNP-C
• Holly Jennifer Jaskierny, D.O.
• Kristin Benita Jaster, COTA/L
• Nialish Javaid, MD
• Jay a Werschky DDS PC

• General Practice Dentistry in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.