MEDICARE: DR. SHERIF E. BADR DDS

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	1223G0001X	General Practice Dentistry	013348	MI

General Provider Information

NPI Number	:	1982890497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERIF E. BADR DDS

Provider Business Mailing Address
First Line	:	330 W TIENKEN RD
Second Line	:	SUITE B
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-4474
Country	:	US
Telephone Number	:	248-656-1505
Fax Number	:	248-656-8846

Provider Business Practice Location Address
First Line	:	330 W TIENKEN RD
Second Line	:	SUITE B
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-4474
Country	:	US
Telephone Number	:	248-656-1505
Fax Number	:	248-656-8846

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

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	09/18/2007

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