Provider Demographics
NPI:1427949262
Name:YOUSEF, SAMAH NABEEL (DMD)
Entity type:Individual
Prefix:
First Name:SAMAH
Middle Name:NABEEL
Last Name:YOUSEF
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 HILLSIDE PARK ST APT 1305
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-6191
Mailing Address - Country:US
Mailing Address - Phone:407-417-1118
Mailing Address - Fax:
Practice Address - Street 1:5297 SUNDANCE TRL
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-7717
Practice Address - Country:US
Practice Address - Phone:352-663-9773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN30747122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist