Provider Demographics
NPI:1407909179
Name:SHARIFF, SUHAILA S (DMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SUHAILA
Middle Name:S
Last Name:SHARIFF
Suffix:
Gender:F
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 DUNDEE AVE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-2256
Mailing Address - Country:US
Mailing Address - Phone:847-742-9150
Mailing Address - Fax:847-742-9450
Practice Address - Street 1:1209 DUNDEE AVE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-2256
Practice Address - Country:US
Practice Address - Phone:847-742-9150
Practice Address - Fax:847-742-9450
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics