Provider Demographics
NPI:1548038318
Name:ELSHERIF DENTAL PLLC
Entity type:Organization
Organization Name:ELSHERIF DENTAL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:ISMAIL
Authorized Official - Last Name:ELSHERIF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-984-2723
Mailing Address - Street 1:8800 LONG POINT RD STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-3015
Mailing Address - Country:US
Mailing Address - Phone:713-984-2723
Mailing Address - Fax:713-984-2325
Practice Address - Street 1:8800 LONG POINT RD STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3015
Practice Address - Country:US
Practice Address - Phone:626-814-7420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty