Provider Demographics
NPI:1528071925
Name:DIRANI, SAMER GEORGE (DDS)
Entity type:Individual
Prefix:DR
First Name:SAMER
Middle Name:GEORGE
Last Name:DIRANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47700 GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1218
Mailing Address - Country:US
Mailing Address - Phone:248-380-2800
Mailing Address - Fax:248-380-5099
Practice Address - Street 1:47601 GRAND RIVER
Practice Address - Street 2:SUITE B125
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374
Practice Address - Country:US
Practice Address - Phone:248-380-2800
Practice Address - Fax:248-380-5099
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI17436122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist