Provider Demographics
NPI:1225442627
Name:RIZK, NERMIN GIRGIS (DDS)
Entity Type:Individual
Prefix:MRS
First Name:NERMIN
Middle Name:GIRGIS
Last Name:RIZK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:NERMIN
Other - Middle Name:GIRGIS
Other - Last Name:SHENOUDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:97 85TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-6022
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12265 CENTRAL AVE NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434
Practice Address - Country:US
Practice Address - Phone:763-757-1323
Practice Address - Fax:763-225-8449
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND13418122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist