DR. SOROUSH SAMIMI DMD NPI 1043770217

NPI Information

  • NPI: 1043770217
  • Provider Name: DR. SOROUSH SAMIMI, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 701 E COMMERCIAL BLVD
    OAKLAND PARK, FL
    ZIP 33334
  • Phone: (954) 772-2000

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NPI Details

DR. Soroush Samimi, DMD is an oral and maxillofacial surgery dentist in Oakland Park, FL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Soroush Samimi, DMD NPI is 1043770217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 E COMMERCIAL BLVD
OAKLAND PARK, FL
ZIP 33334-391
Phone: (954) 772-2000

The NPI 1043770217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2019 and was last updated on 4/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
21223S0112XDentistOral and Maxillofacial SurgeryDN29944FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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