National Provider Identifier
Sam Dirawi, DMD
Sam Dirawi, DMD is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Penfield, NY and a listed phone number of (585) 377-5810.
Profile Overview
- NPI
- 1366863250
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- December 19, 2013
- Last Updated
- April 20, 2018
Practice Location
- 2060 Fairport Nine Mile Point RD
- Penfield, NY 14526-1749
Phone: (585) 377-5810
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1366863250
- Entity Type
- Individual
- Last Name
- Dirawi
- First Name
- Sam
- Credential
- DMD
- Mailing Street Address
- 2060 Fairport Nine Mile Point RD
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-1749
- Mailing Country
- US
- Mailing Phone
- (585) 377-5810
- Mailing Fax
- (585) 377-1121
- Practice Street Address
- 2060 Fairport Nine Mile Point RD
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1749
- Practice Country
- US
- Practice Phone
- (585) 377-5810
- Practice Fax
- (585) 377-1121
- Enumeration Date
- December 19, 2013
- Last Updated
- April 20, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 05023372 (NY)