Yousif Abu Al Soof, DDS
Individual provider Active NPI Dentist · Rome, NY
NPI 1699530840 · NPPES record last updated Jul 22, 2025
Key facts
- NPI
- 1699530840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 064798 (NY)
- Practice address
- 103 W Dominick St Ste 20
Rome, NY 13440-5809 - Phone
- (213) 410-7986
- NPI assigned
- Feb 16, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064798 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 064798 | NY | Yes |
Addresses
Primary practice location
103 W Dominick St Ste 20
Rome, NY 13440-5809
Mailing address
266 McGinnis Crescent
Milton, ONTARIO L9T0N7
CA
Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2025. 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.