Samer Abdallah, DDS
Individual provider Active NPI General Practice Dentistry · Palatine, IL
NPI 1487092706 · NPPES record last updated Aug 2, 2016
Key facts
- NPI
- 1487092706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019029390 (IL)
- Practice address
- 124 W Northwest Hwy
Palatine, IL 60067-3558 - Phone
- (847) 481-8400
- Fax
- (847) 481-8909
- NPI assigned
- Jun 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029390 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samer Abdallah DDS, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019029390 | IL | Yes |
Addresses
Primary practice location
124 W Northwest Hwy
Palatine, IL 60067-3558
Mailing address
124 W Northwest Hwy
Palatine, IL 60067-3558
Phone (847) 418-8400
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All providers in Palatine, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2016. 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.