Provider Demographics
NPI:1144916743
Name:ALFARRA, ALMA (DDS)
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:
Last Name:ALFARRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 WHISTLE LN
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-4768
Mailing Address - Country:US
Mailing Address - Phone:954-646-3676
Mailing Address - Fax:
Practice Address - Street 1:2306 GREENCREST BLVD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-5513
Practice Address - Country:US
Practice Address - Phone:972-722-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2024-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX408941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice