Alsmadi, Tariq

Alsmadi, Tariq is an sole proprietor health care provider with primary practice located at 1107 W Randol Mill Rd , Arlington TX 76012-2515. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Alsmadi, Tariq can be contacted via phone (817) 277-6601.

Contact Information

Primary practice address
1107 W Randol Mill Rd Arlington TX 76012-2515
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 21294 Texas

Profile Details

NPI number 1225141310
LBN Legal business name Alsmadi, Tariq
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Apr 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225141310 NPPES
Texas MEDICAID 161869601
Texas Other G60212-01
Texas Other 010389
Texas Other 88D371
Texas Other 1565571

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