Provider Demographics
NPI:1174042287
Name:KAMRANI, SAMIR STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:STEVEN
Last Name:KAMRANI
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 1:2750 MING AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-4431
Mailing Address - Country:US
Mailing Address - Phone:661-396-1701
Mailing Address - Fax:
Practice Address - Street 1:3400 WIBLE RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-6507
Practice Address - Country:US
Practice Address - Phone:661-396-1701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0599991223G0001X
AZD0112661223G0001X
CA1018891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice