Individual provider · Type 1 NPI
Nicole Samoohi, DDS
General Practice Dentistry · Bayside, NY
NPI number
1831884204
Active
Practice location
20712 Northern Blvd
Bayside, NY 11361-3107
Mailing address
273 Seton Hall Dr
Paramus, NJ 07652-5650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 064405 (NY) |
General Practice Dentistry: 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.
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About NPI 1831884204
Nicole Samoohi, DDS's National Provider Identifier is 1831884204, issued on Apr 10, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bayside, NY. The record was last updated on May 27, 2026.