Samy Habib Abd-El-Messih, DDS

Individual provider Active NPI General Practice Dentistry · Horseheads, NY

NPI 1114909686 · NPPES record last updated Sep 6, 2019

Key facts

NPI
1114909686
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
043053 (NY)
Practice address
170 Miller St
Horseheads, NY 14845-1844
Phone
(607) 795-5000
Fax
(607) 739-3166
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Chemung Dental Health P.C. Past Accepting new patients
Bryan Friedland DMD PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 043053 NY Yes

Addresses

Primary practice location

170 Miller St
Horseheads, NY 14845-1844

Mailing address

170 Miller St
Horseheads, NY 14845-1844
Phone (607) 795-5000

Other identifiers

IdentifierTypeStateIssuer
01468877MedicaidNY

Other providers in Horseheads, NY

All providers in Horseheads, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.