Provider Demographics
NPI:1487270252
Name:SHARFI, MOAMAL KAMAL OSMAN (DMD)
Entity type:Individual
Prefix:
First Name:MOAMAL
Middle Name:KAMAL OSMAN
Last Name:SHARFI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4048 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-2398
Mailing Address - Country:US
Mailing Address - Phone:617-306-4552
Mailing Address - Fax:
Practice Address - Street 1:4048 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-2398
Practice Address - Country:US
Practice Address - Phone:617-306-4552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1858675122300000X
FL28684122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist