Samir Alaswad, DDS

Individual provider Active NPI General Practice Dentistry · Orangevale, CA

NPI 1659433407 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1659433407
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
46728 (CA)
Practice address
8851 Greenback LN
Orangevale, CA 95662-4058
Phone
(916) 988-5559
Fax
(916) 988-5936
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

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
Sattout and Alaswad Dental Corp. General Practice Past Accepting new patients
Samir Alaswad Dental Corp Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46728 CA Yes

Addresses

Primary practice location

8851 Greenback LN
Orangevale, CA 95662-4058

Mailing address

8851 Greenback LN
Orangevale, CA 95662-4058
Phone (916) 988-5559

Other providers in Orangevale, CA

All providers in Orangevale, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.