Provider Demographics
NPI:1437969938
Name:SIBEL ELJACH DMD MS, PLLC
Entity type:Organization
Organization Name:SIBEL ELJACH DMD MS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELJACH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:773-630-2908
Mailing Address - Street 1:3830 BATTERSEA RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6726
Mailing Address - Country:US
Mailing Address - Phone:773-630-2908
Mailing Address - Fax:
Practice Address - Street 1:2000 S DIXIE HWY STE 100C
Practice Address - Street 2:
Practice Address - City:COCONUT GROVE
Practice Address - State:FL
Practice Address - Zip Code:33133-2455
Practice Address - Country:US
Practice Address - Phone:312-434-3980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty