Provider Demographics
NPI:1881846673
Name:SAMER ALEID DMD PC
Entity Type:Organization
Organization Name:SAMER ALEID DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEID
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-653-1832
Mailing Address - Street 1:318 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1124
Mailing Address - Country:US
Mailing Address - Phone:508-653-1832
Mailing Address - Fax:508-653-6354
Practice Address - Street 1:318 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1124
Practice Address - Country:US
Practice Address - Phone:508-653-1832
Practice Address - Fax:508-653-6354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19622-MA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1023168424OtherNPI INDIVIDUAL