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Active NPI 1588006902 Individual Practitioner Male Practitioner

Samer Adnan Faraj , BDS

Dentist - Periodontics • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Samer Faraj, BDS is a registered healthcare professional specializing in Dentist - Periodontics in Boardman, OH. Practice services are available at 6540 SOUTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6540 South Ave

Boardman, OH 445123651

Telephone 3307586165
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Boardman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Boardman, OH (209 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 - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License OH 024623

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0155587 (OH)

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1154330694

Doctor of Dental Surgery

Brandon Luckett

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1194141895
Dr. James Gentile , DDS

Dentist - General Practice

NPI 1225001241

Doctor of Dental Surgery

Dr. Menaka Tandon , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1578292454

Doctor of Dental Surgery

Tamara Younes

Dentist - General Practice

NPI 1609443761

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active May 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2017

Registered at 6540 SOUTH AVE, BOARDMAN, OH 445123651 (Tel: 3307586165)

📍
Updated Business Mailing Address May 22, 2017

Registered at 800 ROSE STREET D 432, LEXINGTON, KY 405361156 (Tel: (925) 577-6309)

👤
Provider Name / Credentials Updated May 22, 2017

Recorded as SAMER FARAJ, BDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2017

Dentist (License #024623 in OH)

NPI Profile Active July 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2013

Registered at 800 ROSE STREET D 432, LEXINGTON, KY 405361156 (Tel: 9255776309)

📍
Updated Business Mailing Address July 26, 2013

Registered at 800 ROSE STREET D 432, LEXINGTON, KY 405361156 (Tel: 9255776309)

👤
Provider Name / Credentials Updated July 26, 2013

Recorded as SAMER FARAJ, BDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2013

Dentist (License #9138 in KY)

🟢
Initial NPI Registration & Enumeration July 26, 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: 1588006902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2013
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

800 Rose Street D 432

Lexington, KY 405361156

Phone: 9255776309

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.