Individual
DR. TARIQ ALSMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1107 W RANDOL MILL RD, ARLINGTON, TX 76012-2515
(817) 277-6601
Mailing address
2916 SAIHAAN DR, RICHARDSON, TX 75082
(817) 793-8515
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010389
COMP BENEFITS FACILITY #
TX
01
—
1565571
UNITED CONCORDIA ID
TX
05
—
161869601
—
TX
01
—
88D371
BLUE CROSS BLUE SHEILD ID
TX
01
—
G60212-01
CHIP ID
TX
Enumeration date
08/16/2006
Last updated
04/22/2022
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