Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497001630 Individual Practitioner Male Practitioner

Dr. Samer Mufid Othman , DDS

Dentist - General Practice • Macon, GA

Professional Overview & Biography Verified Profile Summary

Dr. Samer Othman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Macon, GA. Practice services are available at 4705 NORTHSIDE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4705 Northside Dr
Suite 100

Macon, GA 312101698

Telephone 4782076939
Associated Practice Facility / Clinic
🏢 Advanced Dental Arts, Llc Facility NPI 1679969380

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
65 Specialists

Practicing in Macon, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN014686

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1609793082

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2014

Registered at 4705 NORTHSIDE DR, SUITE 100, MACON, GA 312101698 (Tel: 4782076939)

📍
Updated Business Mailing Address August 28, 2014

Registered at 4705 NORTHSIDE DR, SUITE 100, MACON, GA 312101698 (Tel: 4782076939)

👤
Provider Name / Credentials Updated August 28, 2014

Recorded as SAMER OTHMAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2014

Dentist (License #DN014686 in GA)

🟢
Initial NPI Registration & Enumeration July 25, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497001630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2012
Last Update: August 28, 2014
Sole Proprietor: No

Mailing Address

4705 Northside Dr, Suite 100

Macon, GA 312101698

Phone: 4782076939

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.