DR. TAREQ ALSARRAF NPI 1568293611

NPI Information

NPI: 1568293611
Provider Name: DR. TAREQ ALSARRAF
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 55 FRUIT ST
WANG 230
BOSTON, MA
ZIP 02114
Phone: (617) 726-2000

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NPI Details

DR. Tareq Alsarraf is an oral and maxillofacial surgery dentist in Boston, MA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Tareq Alsarraf NPI is 1568293611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST
WANG 230
BOSTON, MA
ZIP 02114-117
Phone: (617) 726-2000

The NPI 1568293611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/12/2024 and was last updated on 6/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	0442000526	VIRGINIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DL100767	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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