IndividualActive
Ben Mibab, DDS MS
NPI 1538236708 · Orthodontics and Dentofacial Orthopedics Dentistry · Johns Creek, GA
Provider details
- NPI number
- 1538236708
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- GA 10500 (GA)
Specialties & taxonomies
Dental Providers
Practice location
3005 Old Alabama Rd
Suite 6000
Johns Creek, GA 30022-8594
Phone: (770) 552-6800
Approximate (ZIP-level) locationGet directions
Mailing address
3005 Old Alabama Rd
Johns Creek, GA 30022-8594
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2016-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.