Provider Demographics
NPI:1437436359
Name:SAID, SHARIF (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHARIF
Middle Name:
Last Name:SAID
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:SHARIF
Other - Middle Name:A
Other - Last Name:SAID
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:8407 KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-4338
Mailing Address - Country:US
Mailing Address - Phone:201-868-2747
Mailing Address - Fax:
Practice Address - Street 1:8407 JOHN KENNEDY BLVD W
Practice Address - Street 2:
Practice Address - City:NORTHBERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047
Practice Address - Country:US
Practice Address - Phone:201-868-2747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02487100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist