Provider Demographics
NPI:1689742918
Name:THABET, SAMIE A (DMD, MSD, PA)
Entity Type:Individual
Prefix:DR
First Name:SAMIE
Middle Name:A
Last Name:THABET
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Gender:M
Credentials:DMD, MSD, PA
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Mailing Address - Street 1:19735 GERMANTOWN RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1214
Mailing Address - Country:US
Mailing Address - Phone:301-515-8500
Mailing Address - Fax:301-515-8501
Practice Address - Street 1:19735 GERMANTOWN RD
Practice Address - Street 2:SUITE 230
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1214
Practice Address - Country:US
Practice Address - Phone:301-515-8500
Practice Address - Fax:301-515-8501
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD129601223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics