Provider Demographics
NPI:1467589226
Name:ARAZIE, SAM HYMAN (DMD, MSD, PA)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:HYMAN
Last Name:ARAZIE
Suffix:
Gender:M
Credentials:DMD, MSD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1385 2ND LOOP RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-2841
Mailing Address - Country:US
Mailing Address - Phone:843-669-3030
Mailing Address - Fax:843-669-8643
Practice Address - Street 1:1385 2ND LOOP RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-2841
Practice Address - Country:US
Practice Address - Phone:843-669-3030
Practice Address - Fax:843-669-8643
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC318OtherSPECIALTY LICENSE NUMBER