Individual provider · Type 1 NPI

Ibrahim Idoh, DENTAL HYGIENE

Dental Assistant · Fort Polk, LA

NPI number 1255299368 Active

Practice location

7223 Mississippi Avenue, Bldg 1561
Fort Polk, LA 71459-7435

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XNone listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1255299368

Ibrahim Idoh, DENTAL HYGIENE's National Provider Identifier is 1255299368, issued on Jan 15, 2026. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Fort Polk, LA. The record was last updated on Jan 15, 2026.