Most Relevant Information
Provider Data
| NPI Number: | 1003541368 |
| Provider Name: | RONY JFOUF IBRAHIM DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 11963 |
Most Important Dates
| Enumeration Date: | 07/20/2022 |
| Last Updated: | 07/20/2022 |
Provider Practice Location
4730 LEBANON PIKE STE 101
HERMITAGE
TN
370761313
Practice Location Phone/Fax
| Phone: | 6152195722 |
| Fax: |
Provider Mailing Location
413 ANNAPOLIS CIR
HERMITAGE
TN
370763678
Provider Mailing Phone/Fax
| Phone: | 9315918331 |
| Fax: |