Provider Demographics
NPI:1376696419
Name:BESSADA, ASHRAF RAAFAT (DMD,MDS)
Entity Type:Individual
Prefix:DR
First Name:ASHRAF
Middle Name:RAAFAT
Last Name:BESSADA
Suffix:
Gender:M
Credentials:DMD,MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 DRUID RD E
Mailing Address - Street 2:SUITE#507
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3959
Mailing Address - Country:US
Mailing Address - Phone:727-461-2322
Mailing Address - Fax:
Practice Address - Street 1:611 DRUID RD E
Practice Address - Street 2:SUITE#507
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3959
Practice Address - Country:US
Practice Address - Phone:727-461-2322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN140071223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics