Ibrahim Idoh, Dental Hygiene
Dental Assistant in Fort Polk, LA. Individual provider (NPI-1).
NPI number1255299368
StatusActive
Last updated in NPPESJan 15, 2026
Details
- NPI
- 1255299368
- Entity type
- Individual (NPI-1)
- Name
- Ibrahim Idoh
- Credential
- Dental Hygiene
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2026
- Certification date
- Jan 13, 2026
- Last updated
- Jan 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | – | – | Yes |
Practice location
7223 Mississippi AvenueBldg 1561
Fort Polk, LA 71459-7435
Phone 726-780-1451
Mailing address
7223 Mississippi AvenueBldg 1561
Fort Polk, LA 71459-7435
Phone 726-780-1451
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dental Assistant providers in Fort Polk, LA
- Teresa ContrerasNPI 1154773802
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- Kevin McDowellNPI 1780035238
- Desiree C StoutNPI 1215622642
- Jerardy Ivan Velasquez-BravoNPI 1861311573
All 6 Dental Assistant providers in Fort Polk · All 267 providers in Fort Polk
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