Provider Demographics
NPI:1811074776
Name:OBEID, SAMER ISSAM (DMD)
Entity type:Individual
Prefix:DR
First Name:SAMER
Middle Name:ISSAM
Last Name:OBEID
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 S LIVERNOIS RD
Mailing Address - Street 2:STE 210
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2586
Mailing Address - Country:US
Mailing Address - Phone:248-652-1100
Mailing Address - Fax:248-652-4705
Practice Address - Street 1:441 S LIVERNOIS RD
Practice Address - Street 2:STE 210
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2586
Practice Address - Country:US
Practice Address - Phone:248-652-1100
Practice Address - Fax:248-652-4705
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901018745122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist