Provider Demographics
NPI:1740240761
Name:SAMANDARI, NAFYS (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAFYS
Middle Name:
Last Name:SAMANDARI
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 1:6945 E SAHUARO DR.
Mailing Address - Street 2:STE A-3
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254
Mailing Address - Country:US
Mailing Address - Phone:480-951-3333
Mailing Address - Fax:480-951-0436
Practice Address - Street 1:6945 E SAHUARO DR.
Practice Address - Street 2:STE A-3
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254
Practice Address - Country:US
Practice Address - Phone:480-951-3333
Practice Address - Fax:480-951-0436
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD45751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice