NPI 1245075381 · live from the CMS NPI Registry
Samer Abu Ammra
Dentist in Fargo, ND. National Provider Identifier 1245075381, active.
NPI record
| NPI | 1245075381 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 4302 13th Ave S Ste 10, Fargo, ND 58103 |
| Practice phone | 708-580-9733 |
| Enumerated | June 29, 2024 |
| Last updated | August 18, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 30.027548 (OH) |
| Dentist | 122300000X | 019.035698 (IL) |
| Dentist primary | 122300000X | 2516 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.