Provider Demographics
NPI:1346760576
Name:ALSHROUF, ISAAC M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:M
Last Name:ALSHROUF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30138 MARQUETTE AVE
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-4485
Mailing Address - Country:US
Mailing Address - Phone:813-466-8372
Mailing Address - Fax:
Practice Address - Street 1:7650 GALL BLVD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-4313
Practice Address - Country:US
Practice Address - Phone:813-364-5890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN227581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice