Provider Demographics
NPI:1770154411
Name:NAAMEH, SAMER
Entity type:Individual
Prefix:
First Name:SAMER
Middle Name:
Last Name:NAAMEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 LEGACY DR APT 24202
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6651
Mailing Address - Country:US
Mailing Address - Phone:347-615-5044
Mailing Address - Fax:
Practice Address - Street 1:3700 LEGACY DR APT 24202
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6651
Practice Address - Country:US
Practice Address - Phone:347-615-5044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-04
Last Update Date:2021-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX373581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice