Peter Ibrahim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27081 Issued in FL

Practice address

737 Stirling Center PL Ste 1801
Lake Mary, FL 32746-5715

Phone

(407) 805-8808

NPI assigned

Apr 16, 2022

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

Networks

• Freedom Health HMO Network

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.

• Bryan D. Oeth,DMD,Cosmetic & Restorative Dental Care of Lake Mary, FL, PA

  dba Oeth & Ibrahim Dental Care

  • General Practice Dentistry
  • Lake Mary, FL
  • NPI 1770423410
  NPD Authorized official
• Healing Smiles PLLC

  dba Aspen Dental

  • General Practice Dentistry
  • West Melbourne, FL
  • NPI 1598143034
  NPD (past)

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1255074373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 STIRLING CENTER PL STE 1801",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465715",
            "telephone_number": "407-805-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 STIRLING CENTER PL STE 1801",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465715",
            "telephone_number": "407-805-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-16",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Hutchinson X, MS
• Heidi Fiorella Huynh, PHARMD
• Alyssa Iapoce
• Hasib Ibnerasa, M.D.
• Dina Ibrahim, PHARM-D
• Kristine Roberta Ilgenfritz, PAC
• Samantha Illanez, MSW
• Infectious Disease Associates of Central FL. PA
• Infectious Disease of Greater Orlando PLC
• Infusion Solutions LLC

• General Practice Dentistry in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.