MEDICARE: NILOFAR K. ALI, D.D.S., P.A.

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	26031	TX

General Provider Information

NPI Number	:	1932528049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NILOFAR K. ALI, D.D.S., P.A.

Provider Business Mailing Address
First Line	:	6834 PRESTON GROVE DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-1415
Country	:	US
Telephone Number	:	832-212-2580
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 GESSNER RD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-6342
Country	:	US
Telephone Number	:	713-984-1115
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. NILOFAR KARIM MOMIN
Credential	:	D.D.S.
Telephone Number	:	832-212-2580

Provider Enumeration Date	:	04/16/2014
Last Update Date	:	09/24/2020

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