Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669115325 Individual Practitioner Female Practitioner

Dr. Minatallah Mutasim Ibrahim , DDS

Dentist - General Practice • Richmond, VA

Professional Overview & Biography Verified Profile Summary

Dr. Minatallah Ibrahim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Richmond, VA. Practice services are available at 6605 W BROAD ST STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6605 W Broad St Ste 105

Richmond, VA 232301714

Telephone 8042824279
Associated Practice Facility / Clinic
🏢 Kr Dental Group, Pllc Facility NPI 1639797137

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Richmond, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
259 Specialists

Practicing in Richmond, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401418460

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kenneth Stoner , DDS

Dentist - General Practice

NPI 1215029012

Doctor of Dental Surgery

Dr. Isabella Romani , DDS

Dentist - General Practice

NPI 1972336980

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 12, 2023

Registered at 6605 W BROAD ST STE 105, RICHMOND, VA 232301714 (Tel: 8042824279)

📍
Updated Business Mailing Address August 29, 2023

Registered at 6605 W BROAD ST STE 105, RICHMOND, VA 232301714 (Tel: 8042824279)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2023

Dentist (License #0401418460 in VA)

NPI Profile Active April 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2022

Registered at 121 DEKALB AVE, BROOKLYN, NY 112015425 (Tel: 7182508000)

📍
Updated Business Mailing Address April 19, 2022

Registered at 121 DEKALB AVE, BROOKLYN, NY 112015425

👤
Provider Name / Credentials Updated April 19, 2022

Recorded as MINATALLAH IBRAHIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669115325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2022
Last Update: September 12, 2023
Sole Proprietor: No

Mailing Address

6605 W Broad St Ste 105

Richmond, VA 232301714

Phone: 8042824279

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.