Provider Demographics
NPI:1790943405
Name:AL SHAREEF, AMER (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMER
Middle Name:
Last Name:AL SHAREEF
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 1:120 ALEXANDRIA BLVD
Mailing Address - Street 2:SUITE #20
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8299
Mailing Address - Country:US
Mailing Address - Phone:407-617-8910
Mailing Address - Fax:
Practice Address - Street 1:120 ALEXANDRIA BLVD
Practice Address - Street 2:SUITE #20
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8299
Practice Address - Country:US
Practice Address - Phone:407-617-8910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN182921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice