Provider Demographics
NPI:1114909686
Name:ABD-EL-MESSIH, SAMY HABIB (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAMY
Middle Name:HABIB
Last Name:ABD-EL-MESSIH
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 1:170 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-1844
Mailing Address - Country:US
Mailing Address - Phone:607-795-5000
Mailing Address - Fax:607-739-3166
Practice Address - Street 1:170 MILLER ST
Practice Address - Street 2:
Practice Address - City:HORSEHEADS
Practice Address - State:NY
Practice Address - Zip Code:14845-1844
Practice Address - Country:US
Practice Address - Phone:607-795-5000
Practice Address - Fax:607-739-3166
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0430531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01468877Medicaid