Provider Demographics
NPI:1609442870
Name:ALSIRAFI, MOHAMAD NOOR (DMD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMAD NOOR
Middle Name:
Last Name:ALSIRAFI
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 1:8784 MONTGOMERY RD # 101
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2126
Mailing Address - Country:US
Mailing Address - Phone:513-271-5800
Mailing Address - Fax:
Practice Address - Street 1:8784 MONTGOMERY RD # 101
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2126
Practice Address - Country:US
Practice Address - Phone:513-271-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-28
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH30.026881122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program