Samer Al-Ismaeel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601712 Issued in MI

Practice address

14024 Fort St
Southgate, MI 48195-1268

Phone

(734) 720-0433

NPI assigned

May 25, 2023

Last updated

May 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1801588934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13867 HUMPHREY ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953039",
            "telephone_number": "313-720-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14024 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951268",
            "telephone_number": "734-720-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ISMAEEL",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Akhavan Shahr Ashoub, MS, PA-C
• Sandra Akins, BS
• Arshia Akram, MD
• Suchona Akter
• Nadia Al-Aasm, D.D.S
• Mohamad Al-Jarrah, M.D.
• Marjorie Carol Al-Khatib, MEDICAL ASSISTANT
• Munther K Alaiwat, M.D.
• Fatima Albaneh
• Jessica Irene Albee, LLMSW

• Dentist in Southgate, MI
• Providers in Southgate, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.