Provider Demographics
NPI:1376960583
Name:ALI, A. SHERRIFF FAROUK (DDS)
Entity type:Individual
Prefix:DR
First Name:A. SHERRIFF
Middle Name:FAROUK
Last Name:ALI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:AHMAD SHERRIFF
Other - Middle Name:FAROUK
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1005 EMERALD CREEK DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-7195
Mailing Address - Country:US
Mailing Address - Phone:202-492-5801
Mailing Address - Fax:
Practice Address - Street 1:27446 CASHFORD CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6917
Practice Address - Country:US
Practice Address - Phone:813-328-1825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN218311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice