Samirah Mohamad, DDS

General Practice Dentistry · Broken Arrow, OK

Individual Active NPI

NPI number 1699391508

Practice location

1230 E Hillside Dr
Broken Arrow, OK 74012-2301
Phone
(918) 505-4200

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NPI record

NPI
1699391508
Entity type
Individual (Type 1)
Enumeration date
June 17, 2020
Last updated
June 17, 2020
Certified
June 17, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X T-7319 OK

Mailing address

11100 E 96TH St S Apt 1732
Tulsa, OK 74133-5499

About Dr. Mohamad

Samirah Mohamad, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1230 E Hillside Dr, Broken Arrow, OK 74012-2301. The NPI number 1699391508 was assigned on June 17, 2020 and the record was last updated on June 17, 2020.

Dr. Mohamad lists a license in the registry: #T-7319 (OK) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samirah Mohamad, DDS?

The NPI number is 1699391508.

What is the phone number of Dr. Mohamad?

The phone number listed for the practice location is (918) 505-4200.

Where is Dr. Mohamad located?

1230 E Hillside Dr, Broken Arrow, OK 74012-2301.

What is the taxonomy code for Dr. Mohamad?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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