Othman, Samer Mufid

Othman, Samer Mufid is an individual health care provider with primary practice located at 4705 Northside Dr Suite 100, Macon GA 31210-1698. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Othman, Samer Mufid can be contacted via phone (478) 207-6939.

Contact Information

Primary practice address
4705 Northside Dr Suite 100 Macon GA 31210-1698
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN014686 Georgia

Profile Details

NPI number 1497001630
LBN Legal business name Othman, Samer Mufid
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2012
Last updated Aug 28th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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