| Sammy Noumbissi Dds Pa | |
|
801 Wayne Ave Ste G200 Silver Spring MD 20910-4450 | |
| (301) 588-0768 | |
| (240) 839-5008 |
| Full Name | Sammy Noumbissi Dds Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 Wayne Ave Ste G200, Silver Spring, Maryland |
| Authorized Official Name and Position | Sammy Noumbissi (OWNER) |
| Authorized Official Contact | 3015880768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sammy Noumbissi Dds Pa 801 Wayne Ave Ste G200 Silver Spring MD 20910-4450 Ph: (301) 588-0768 | Sammy Noumbissi Dds Pa 801 Wayne Ave Ste G200 Silver Spring MD 20910-4450 Ph: (301) 588-0768 |
| NPI Number | 1730726449 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 01/28/2020 |
| Medicare PECOS PAC ID | 0446689061 |
|---|---|
| Medicare Enrollment ID | O20200402002828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730726449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Sammy Stefan Noumbissi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780882159 PECOS PAC ID: 3173952793 Enrollment ID: I20200402002991 |
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