Samer Said Alassaad, DDS
Individual provider Active NPI General Practice Dentistry · Davis, CA
NPI 1104086875 · NPPES record last updated Feb 6, 2019
Key facts
- NPI
- 1104086875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 50881 (CA)
- Practice address
- 635 Anderson Rd Ste 17
Davis, CA 95616 - Phone
- (530) 757-6453
- Fax
- (530) 757-6450
- NPI assigned
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samer S. Alassaad DDS, Inc | General Practice | Current | Accepting new patients |
| James W Childress DDS Inc | Past | Accepting new patients |
Locations
635 Anderson Rd
Ste 17
Davis, CA 95616
Phone (530) 220-3439
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50881 | CA | Yes |
Addresses
Primary practice location
635 Anderson Rd Ste 17
Davis, CA 95616
Mailing address
635 Anderson Rd Ste 17
Davis, CA 95616-3505
Phone (530) 757-6453
Other practice location 1
635 Anderson Rd Ste 17
Davis, CA 95616
Phone (530) 757-6453
Other providers in Davis, CA
- Ajay Pal Singh MD Medical Inc
- Mahfuja I. Akanda
- Beatrice Sarah Akers
- Thomas Byron Alan
- Mariel Alano
- Daniel Joseph Albano
- Allison Alcalay
- Aliyah Renae Trevino Alcantara
- Eria Marina Alcocer
- Amber Latece Alderson
All providers in Davis, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.