Provider Demographics
NPI:1831392042
Name:DR.MOSTAFA EL-SHERIF DMD,MSCD,PHD,PC
Entity type:Organization
Organization Name:DR.MOSTAFA EL-SHERIF DMD,MSCD,PHD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSTAFA
Authorized Official - Middle Name:H
Authorized Official - Last Name:EL-SHERIF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD,MSCD,PHD
Authorized Official - Phone:603-224-5424
Mailing Address - Street 1:246 PLEASANT ST
Mailing Address - Street 2:SUITE#225
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2548
Mailing Address - Country:US
Mailing Address - Phone:603-224-5424
Mailing Address - Fax:603-228-4269
Practice Address - Street 1:246 PLEASANT ST
Practice Address - Street 2:SUITE#225
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2548
Practice Address - Country:US
Practice Address - Phone:603-224-5424
Practice Address - Fax:603-228-4269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH26501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty