Ali Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALI FAMILY DENTAL LLC

Doing business as

Fresh Dental

Practice address

2510 W Virginia Ave
Tampa, FL 33607-6326

Phone

(813) 453-0414

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Momodu Ali, DDSNPI 1245573856

Title

Owner

Phone

(813) 453-0414

Specialties & licenses 1

Addresses

Other names 1

• Fresh Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Momodu A Ali, DDS

  • Dentist
  • Zephyrhills, FL
  • NPI 1245573856
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1265148654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076326",
            "telephone_number": "813-453-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076326",
            "telephone_number": "813-453-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOMODU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-453-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hasan Alhaddad
• Hasan Alhasan, MD
• Bakr Alhayek, MD
• Mohammad Alhazaimeh
• Gary James Alhemovich, NP
• Hadeel E Ali Hamdan, APRN
• Suhad Saleh Ali Mohammed
• Khadra S Ali-Mohamed, DO
• Aariha Imtiaz Ali, MD
• Alaa Ali, MD

• Dental Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.