Provider Demographics
NPI:1487803300
Name:SAMAAN, MUHENAD (DMD)
Entity type:Individual
Prefix:
First Name:MUHENAD
Middle Name:
Last Name:SAMAAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 ROCKINGHAM RD
Mailing Address - Street 2:# 13
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-2165
Mailing Address - Country:US
Mailing Address - Phone:603-437-8204
Mailing Address - Fax:603-432-6564
Practice Address - Street 1:182 ROCKINGHAM RD
Practice Address - Street 2:# 13
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-2165
Practice Address - Country:US
Practice Address - Phone:603-437-8204
Practice Address - Fax:603-432-6564
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03669122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist