Individual
DR. SHERIF HYSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2685 CELANESE RD STE 116, ROCK HILL, SC 29732-2993
(803) 970-8060
Mailing address
2120 HIGHLAND KNOLL DR, CHARLOTTE, NC 28269-3574
(252) 202-7573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10083
SC
1223G0001X
General Practice Dentistry
Primary
10999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/29/2018
Last updated
10/10/2022
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