Provider Demographics
NPI:1619345444
Name:SREIS, SAMI (DMD)
Entity type:Individual
Prefix:DR
First Name:SAMI
Middle Name:
Last Name:SREIS
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 1:101 E KENNEDY BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5847
Mailing Address - Country:US
Mailing Address - Phone:813-701-3141
Mailing Address - Fax:
Practice Address - Street 1:101 E KENNEDY BLVD STE 300
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5847
Practice Address - Country:US
Practice Address - Phone:813-701-3141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-10
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL295441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice