Provider Demographics
NPI:1134149651
Name:SAJOO, SAMEER (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:SAMEER
Middle Name:
Last Name:SAJOO
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3471 N FEDERAL HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1048
Mailing Address - Country:US
Mailing Address - Phone:954-563-0606
Mailing Address - Fax:954-563-0858
Practice Address - Street 1:3471 N FEDERAL HWY STE 200
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1048
Practice Address - Country:US
Practice Address - Phone:954-563-0606
Practice Address - Fax:954-563-0858
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN162081223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics