MEDICARE: MOHAMED ALSHARIF 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	122300000X	Dentist	063963	NY

General Provider Information

NPI Number	:	1588350664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED ALSHARIF DMD

Provider Business Mailing Address
First Line	:	8853 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-6003
Country	:	US
Telephone Number	:	929-630-5910
Fax Number	:

Provider Business Practice Location Address
First Line	:	8853 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-6003
Country	:	US
Telephone Number	:	929-630-5910
Fax Number	:

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

Provider Enumeration Date	:	04/12/2023
Last Update Date	:	02/04/2026

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