MEDICARE: DR. MOHAMAD NOOR ALSIRAFI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	30.026881	OH

General Provider Information

NPI Number	:	1609442870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMAD NOOR ALSIRAFI DMD

Provider Business Mailing Address
First Line	:	8784 MONTGOMERY RD # 101
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2126
Country	:	US
Telephone Number	:	513-271-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	8784 MONTGOMERY RD # 101
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2126
Country	:	US
Telephone Number	:	513-271-5800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2021
Last Update Date	:	07/05/2022

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