Alex Sharifian DDS Ofallon Modern Dentistry PC
Organization Active NPI General Practice Dentistry · O'Fallon, MO
NPI 1407281314 · NPPES record last updated Sep 10, 2013
Key facts
- NPI
- 1407281314
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ALEX SHARIFIAN DDS OFALLON MODERN DENTISTRY PC
- Practice address
- 3009 Highway K
O'Fallon, MO 63368 - Phone
- (636) 379-7552
- Fax
- (636) 379-7553
- NPI assigned
- Sep 10, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Alex R Sharifian, DDS
- Title
- Owner
- Phone
- (636) 379-7552
Practitioners 14
-
Erin Corsi Fraundorf, DMD, MS
-
Halie Faye Gulley, DDS
-
Corey Hastings, DDS, MS
-
Bruce W Howard, DMD
-
Tyler Leavitt, DDS
-
Ashutosh Shrivastava, DMD
-
Albana Simoni, DDS
-
Logan William Smith, DDS
-
Jennifer Soprych, DMD
National Provider Directory
Locations
3009 Highway K
O Fallon, MO 63368
Phone (636) 379-7552
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
3009 Highway K
O'Fallon, MO 63368
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890
Other names
- O'Fallon Modern Dentistry
Other providers in O'Fallon, MO
All providers in O'Fallon, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.