Mokhayesh, Samar
Mokhayesh, Samar is an individual health care provider with primary practice located at 30060 23 Mile Rd , Chesterfield MI 48047-5718. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mokhayesh, Samar can be contacted via phone (586) 949-2240.Contact Information
Primary practice address
30060 23 Mile Rd
Chesterfield MI 48047-5718
Phone: (586) 949-2240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 28901017682 | Michigan |
Profile Details
| NPI number | 1972653244 |
|---|---|
| LBN Legal business name | Mokhayesh, Samar |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972653244 | NPPES |
| Michigan | MEDICAID | 4576013 |
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