Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366863250 Individual Practitioner Male Practitioner

Dr. Sam Dirawi , DMD

Dentist - General Practice • Penfield, NY

Professional Overview & Biography Verified Profile Summary

Dr. Sam Dirawi, DMD is a registered healthcare professional specializing in Dentist - General Practice in Penfield, NY. Practice services are available at 2060 FAIRPORT NINE MILE POINT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2060 Fairport Nine Mile Point Rd

Penfield, NY 145261749

Telephone 5853775810
Fax 5853771121
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Penfield, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Penfield, NY (8411 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 NY 059393

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
05023372 (NY)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Charles Forte , DDS

Dentist - General Practice

NPI 1225064231

Doctor of Dental Surgery

Dr. Peter Lofurno , DMD

Dentist - General Practice

NPI 1255368262

Doctor of Dental Medicine

Dr. Frank Massaro , DDS

Dentist - General Practice

NPI 1326178906

Doctor of Dental Surgery

Dr. Jerome Bartholomew , DMD

Dentist - General Practice

NPI 1376573642

Doctor of Dental Medicine

Dr. Steven Ragan , DDS

Dentist - General Practice

NPI 1598984411

Doctor of Dental Surgery

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location February 23, 2018

Registered at 2060 FAIRPORT NINE MILE POINT RD, PENFIELD, NY 145261749 (Tel: 5853775810)

📍
Updated Business Mailing Address February 23, 2018

Registered at 2060 FAIRPORT NINE MILE POINT RD, PENFIELD, NY 145261749 (Tel: 5853775810)

👤
Provider Name / Credentials Updated February 23, 2018

Recorded as SAM DIRAWI, DMD

NPI Profile Active August 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2017

Registered at 1841 W RIDGE RD, ROCHESTER, NY 146152504 (Tel: 8665462314)

📍
Updated Business Mailing Address August 23, 2017

Registered at 381 WEST SQUIRE DR., APT. 7, ROCHESTER, NY 14623 (Tel: 5855061818)

👤
Provider Name / Credentials Updated August 23, 2017

Recorded as SAM DIRAWI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2017

Dentist (License #059393 in NY)

NPI Profile Active December 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2013

Registered at 625 ELMWOOD AVE # 683, ROCHESTER, NY 146202913 (Tel: 5852755051)

📍
Updated Business Mailing Address December 19, 2013

Registered at 625 ELMWOOD AVE # 683, ROCHESTER, NY 146202913 (Tel: 5852755051)

👤
Provider Name / Credentials Updated December 19, 2013

Recorded as SAM DIRAWI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 19, 2013

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: 1366863250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2013
Last Update: April 20, 2018
Sole Proprietor: No

Mailing Address

2060 Fairport Nine Mile Point Rd

Penfield, NY 145261749

Phone: 5853775810

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.