Faraj, Samer Adnan

Faraj, Samer Adnan is an individual health care provider with primary practice located at 6540 South Ave , Boardman OH 44512-3651. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Faraj, Samer Adnan can be contacted via phone (330) 758-6165.

Contact Information

Primary practice address
6540 South Ave Boardman OH 44512-3651
Phone: (330) 758-6165
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 024623 Ohio

Profile Details

NPI number 1588006902
LBN Legal business name Faraj, Samer Adnan
Credentials BDS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2013
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588006902 NPPES
Ohio MEDICAID 0155587

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