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SAM DIRAWI DMD
NPI 1366863250
Dentist - General Practice in Penfield, NY

Active since December 19, 2013
2060 FAIRPORT NINE MILE POINT RD, PENFIELD, NY 14526(585) 377-5810(585) 377-1121 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2018, Feb 23, 2018, Aug 23, 2017 (3 updates tracked since 2017).

About Sam Dirawi Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM DIRAWI DMD (NPI 1366863250) is an individual general practice provider in Penfield, New York, licensed in New York (059393) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1366863250
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSAM DIRAWICredential: DMD
Location Address2060 FAIRPORT NINE MILE POINT RDPenfield, NY 14526-1749
Mailing Address2060 Fairport Nine Mile Point RdPenfield, NY 14526-1749 · (585) 377-5810 · Fax (585) 377-1121
Phone(585) 377-5810
Fax(585) 377-1121
Sole ProprietorNo
Enumeration DateDecember 19, 2013
Last NPPES UpdateApril 20, 20183 updates tracked since enumeration
✔ NPI 1366863250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 059393
Definition

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.

2060 FAIRPORT NINE MILE POINT RD, Penfield, NY 14526
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Other Identifiers 1

Medicaid05023372NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENESEE VASCULAR LABORATORY, INC.
Specialist/Technologist, Other
2060 FAIRPORT NINE MILE POINT RD, SUITE 400
PENFIELD, NY 14526
Monroe County (585) 454-6610
HARPREET KAUR KHERA RN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2060 FAIRPORT NINE MILE POINT RD
PENFIELD, NY 14526
Monroe County (585) 388-6000
FRANK DOMINIC MASSARO DDS
Dentist (General Practice)
2060 FAIRPORT NINE MILE POINT RD
PENFIELD, NY 14526
Monroe County (585) 377-5810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Dirawi's NPI number?

The NPI number for Sam Dirawi is 1366863250. It was assigned to this individual provider in the NPPES registry on December 19, 2013.

Where is Sam Dirawi located?

Sam Dirawi practices at 2060 Fairport Nine Mile Point Rd, Penfield, NY 14526. The listed phone number is (585) 377-5810.

What is Sam Dirawi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Sam Dirawi accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Sam Dirawi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sam Dirawi was last updated on April 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.