Provider Demographics
NPI:1700040219
Name:ALCHEIKH ALI, FIRAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:FIRAS
Middle Name:
Last Name:ALCHEIKH ALI
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 1:90 BEAVER DR.
Mailing Address - Street 2:
Mailing Address - City:DUBOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801
Mailing Address - Country:US
Mailing Address - Phone:814-375-0500
Mailing Address - Fax:814-375-0124
Practice Address - Street 1:90 BEAVER DR.
Practice Address - Street 2:
Practice Address - City:DUBOIS
Practice Address - State:PA
Practice Address - Zip Code:15801
Practice Address - Country:US
Practice Address - Phone:814-375-0500
Practice Address - Fax:814-375-0124
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014131321223S0112X
PADS0380631223S0112X
IL019.0272791223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery