Provider Demographics
NPI:1710137427
Name:ALZAYAT, SAMEH FIKRI (DDS)
Entity Type:Individual
Prefix:
First Name:SAMEH
Middle Name:FIKRI
Last Name:ALZAYAT
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 1:2051 CYPRESS CREEK RD STE N
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3624
Mailing Address - Country:US
Mailing Address - Phone:512-258-8888
Mailing Address - Fax:512-583-0375
Practice Address - Street 1:2051 CYPRESS CREEK RD STE N
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3624
Practice Address - Country:US
Practice Address - Phone:512-258-8888
Practice Address - Fax:512-583-0375
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA536891223P0221X
TX221071223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA53689OtherSTATE LICENSE
TX22107OtherSTATE LICENSE