Provider Demographics
NPI:1083737936
Name:SAFADI, SAMER (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAMER
Middle Name:
Last Name:SAFADI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 EDINBURGH SOUTH DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6490
Mailing Address - Country:US
Mailing Address - Phone:919-388-3626
Mailing Address - Fax:919-800-3995
Practice Address - Street 1:121 EDINBURGH SOUTH DR STE 101
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511
Practice Address - Country:US
Practice Address - Phone:919-388-3626
Practice Address - Fax:919-800-3995
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11746122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist