Ibrahim A Al-Jerdi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601703 Issued in MI

Practice address

1640 Fort St
Trenton, MI 48183-2040

Phone

(734) 675-8400

NPI assigned

Apr 24, 2023

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great Lakes Dental Ventures PLLC

  • General Practice Dentistry
  • Temperance, MI
  • NPI 1801754536

  General Practice

  NPD Authorized official
• Edp of Mi, PC

  • Dental Clinic/Center
  • Trenton, MI
  • NPI 1447804919
  NPD
• DRS. Penn and Searls D.D.S. PC

  • General Practice Dentistry
  • Trenton, MI
  • NPI 1528276573

  General Practice

  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1164110623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20818 E RIVER RD",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381165",
            "telephone_number": "734-931-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832040",
            "telephone_number": "734-675-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-JERDI",
        "first_name": "IBRAHIM",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-11-20",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Aguilera
• Ahmad Farah DPM PC
• Rabia Akbar, MD
• Akbolton PLLC
• Ahmad I Al-Jerdi, D.O.
• Aws Al-Obaidy, MD
• Haydar Al-Sadkhan
• Sarah Al-Zaher, DO
• Alan Fligiel MD PLC
• Alexander C Batchev DO PC

• General Practice Dentistry in Trenton, MI
• Providers in Trenton, 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 Nov 20, 2023; 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.