Provider Demographics
NPI:1548919129
Name:SAMIR HAMDAN PROFESSIONAL LLC
Entity type:Organization
Organization Name:SAMIR HAMDAN PROFESSIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMDAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:504-348-0080
Mailing Address - Street 1:5421 LAPALCO BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-4152
Mailing Address - Country:US
Mailing Address - Phone:504-348-0080
Mailing Address - Fax:504-348-0023
Practice Address - Street 1:5421 LAPALCO BLVD STE H
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-4152
Practice Address - Country:US
Practice Address - Phone:504-348-0800
Practice Address - Fax:504-348-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental