Provider Demographics
NPI:1164633129
Name:RIAD, SAMER K (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAMER
Middle Name:K
Last Name:RIAD
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 1:6161 TRANSIT RD.
Mailing Address - Street 2:
Mailing Address - City:E. AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2606
Mailing Address - Country:US
Mailing Address - Phone:716-688-3000
Mailing Address - Fax:716-580-3827
Practice Address - Street 1:6161 TRANSIT RD.
Practice Address - Street 2:
Practice Address - City:E. AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2606
Practice Address - Country:US
Practice Address - Phone:716-688-3000
Practice Address - Fax:716-580-3827
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice