Provider Demographics
NPI:1508310517
Name:KEMAHLI, TROY BARISH (DDS)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:BARISH
Last Name:KEMAHLI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27340 DRIVER LN
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-1924
Mailing Address - Country:US
Mailing Address - Phone:425-205-8478
Mailing Address - Fax:
Practice Address - Street 1:3848 SUN CITY CENTER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33573-6843
Practice Address - Country:US
Practice Address - Phone:813-489-9419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22254122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist