Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295411833 Individual Practitioner Male Practitioner

Dr. Islam Alaa Ibrahim Mahdy Ibrahim , DDS

Dentist - General Practice • Sturtevant, WI

Professional Overview & Biography Verified Profile Summary

Dr. Islam Ibrahim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Sturtevant, WI. Practice services are available at 10155 WASHINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10155 Washington Ave

Sturtevant, WI 531771645

Telephone 2628843011
Fax 2626647799

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sturtevant, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Sturtevant, WI (2459 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: 2023-07-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 6001212

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

9 Associated Practitioners
NPI 1164873485

Doctor of Dental Medicine, Master of Science

Dr. Todd Pienkos , DDS

Dentist - Prosthodontics

NPI 1275507659

Doctor of Dental Surgery

Dr. Kristin Osgood Kotlewski , DDS

Dentist - General Practice

NPI 1316978026

Doctor of Dental Surgery

Dr. Aline Dufresne , DMD

Dentist - Pediatric Dentistry

NPI 1376980300

Doctor of Dental Medicine

Dr. Jason Kempinski , DMD

Dentist - General Practice

NPI 1750319596

Doctor of Dental Medicine

NPI 1811826589

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address July 10, 2023

Registered at 12772 71ST ST APT 306, KENOSHA, WI 531428431 (Tel: 6308271120)

NPI Profile Active June 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2023

Registered at 10155 WASHINGTON AVE, STURTEVANT, WI 531771645 (Tel: 2628843011)

📍
Updated Business Mailing Address June 27, 2023

Registered at 11711 W BURLEIGH ST, WAUWATOSA, WI 532223196

👤
Provider Name / Credentials Updated June 27, 2023

Recorded as ISLAM IBRAHIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Dentist (License #6001212 in WI)

🟢
Initial NPI Registration & Enumeration June 27, 2023

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: 1295411833
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: July 10, 2023
Sole Proprietor: No

Mailing Address

12772 71st St Apt 306

Kenosha, WI 531428431

Phone: 6308271120

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.