Provider Demographics
NPI:1245287424
Name:SAMANI, FATEMEH Z (DDS)
Entity type:Individual
Prefix:DR
First Name:FATEMEH
Middle Name:Z
Last Name:SAMANI
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3407 WELLS BRANCH PKWY
Mailing Address - Street 2:SUITE #700
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-6632
Mailing Address - Country:US
Mailing Address - Phone:512-244-7677
Mailing Address - Fax:512-244-9672
Practice Address - Street 1:8404 LIME CREEK RD
Practice Address - Street 2:
Practice Address - City:VOLENTE
Practice Address - State:TX
Practice Address - Zip Code:78641-9105
Practice Address - Country:US
Practice Address - Phone:512-244-7677
Practice Address - Fax:512-244-9672
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16598122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist