DRS Abdelaziz Sami & Mahdi DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DRS ABDELAZIZ SAMI & MAHDI DDS PC

Doing business as

Antioch Kids Dental Studio Dental Group of Abdelaziz Sami and Mahdi

Practice address

2642 Somersville Rd Ste B
Antioch, CA 94509-4428

Phone

(209) 572-1722

NPI assigned

Dec 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather Rich

Title

Manager

Phone

(209) 573-0879

Specialties & licenses 4

Addresses

Other names 1

• Antioch Kids Dental Studio Dental Group of Abdelaziz Sami and Mahdi Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1104634013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 SOMERSVILLE RD STE B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094428",
            "telephone_number": "209-572-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 SOMERSVILLE RD STE B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094428",
            "telephone_number": "209-572-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS ABDELAZIZ SAMI & MAHDI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-573-0879"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antioch Kids Dental Studio Dental Group of Abdelaziz Sami and Mahdi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Lance Miller DC Qme Professional Corp
• Dr. Rodrigo Martell a Professional Dental Corp
• Jennifer Drake
• Linda Charlene Draper, RN, NP
• Warren Dressor
• Arlyn Nancy Dubuk, DDS
• Stacey Ann Duckett, DC
• Katherine E Duffy-Sherr
• Gail Dugger
• Madison Dumas

• Dental Clinic/Center in Antioch, CA
• Providers in Antioch, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.