| Soheil Samiei, D.m.d., P.c. | |
|
9a Dr Osman Babson Rd Gloucester MA 01930-1812 | |
| (978) 281-3772 | |
| Not Available |
| Full Name | Soheil Samiei, D.m.d., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 9a Dr Osman Babson Rd, Gloucester, Massachusetts |
| Authorized Official Name and Position | Soheil Samiei (OWNER) |
| Authorized Official Contact | 9782813772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soheil Samiei, D.m.d., P.c. 9a Dr Osman Babson Rd Gloucester MA 01930-1812 Ph: (978) 281-3772 | Soheil Samiei, D.m.d., P.c. 9a Dr Osman Babson Rd Gloucester MA 01930-1812 Ph: (978) 281-3772 |
| NPI Number | 1154523413 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/27/2020 |
| Medicare PECOS PAC ID | 1658607122 |
|---|---|
| Medicare Enrollment ID | O20190723000993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154523413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18253 (Massachusetts) | Primary |
| Provider Name | Constantinos Laskarides |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215138672 PECOS PAC ID: 4183806409 Enrollment ID: I20110308000779 |
| Provider Name | Soheil Samiei |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881775534 PECOS PAC ID: 8527394998 Enrollment ID: I20190723001352 |
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