Individual
DR. OMER MOHAMED ALI IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, DDS
Contact information
Practice address
401 S GLOSTER ST, TUPELO, MS 38801-5540
(662) 346-5906
Mailing address
4071 LEE RD STE 260, CLEVELAND, OH 44128-2173
(216) 534-8616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
111696
MS
Other
Enumeration date
06/22/2020
Last updated
09/08/2025
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