DR MIB DDS PLLC
NPI 1902487150
Dentist in Herndon, VA

Q: What is Dr Mib Dds PLLC's NPI number?

The NPI number for Dr Mib Dds PLLC is 1902487150. It was assigned to this organization in the NPPES registry on April 19, 2021.

Q: What is Dr Mib Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Dr Mib Dds PLLC was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2021

12973 HIGHLAND CROSSING DR STE B, HERNDON, VA 20171(703) 953-3307 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr Mib Dds Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR MIB DDS PLLC (NPI 1902487150) is a healthcare organization registered as a dentist in Herndon, Virginia and active in the NPI registry since April 2021. The organization lists Mohamed Ibrahim, Owner, as its authorized official.

NPPES Registry Identity

NPI1902487150

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDR MIB DDS PLLC

Location Address12973 HIGHLAND CROSSING DR STE BHerndon, VA 20171-5890

Mailing Address401 12th St S Apt 1712Arlington, VA 22202-4237 · (703) 624-8188

Phone(703) 953-3307

Organization SubpartNo

Authorized OfficialMohamed IbrahimOwner · (703) 624-8188

Enumeration DateApril 19, 2021

NPPES CertifiedApril 19, 2021

✔ NPI 1902487150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

12973 HIGHLAND CROSSING DR STE B, Herndon, VA 20171

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HERNDON DENTAL CARE

Dentist (General Practice)

12973 HIGHLAND CROSSING DR STE B
HERNDON, VA 20171

Fairfax County (678) 906-8367

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Mib Dds PLLC's NPI number?

The NPI number for Dr Mib Dds PLLC is 1902487150. It was assigned to this organization in the NPPES registry on April 19, 2021.

Where is Dr Mib Dds PLLC located?

Dr Mib Dds PLLC is located at 12973 Highland Crossing Dr Ste B, Herndon, VA 20171. The listed phone number is (703) 953-3307.

What is Dr Mib Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Dr Mib Dds PLLC accept?

Health plans from UnitedHealthcare list Dr Mib Dds PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr Mib Dds PLLC was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.