# SAMIMI OMS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649136136
- **Authorized official:** DR. SOROUSH SAMIMI DMD, MS (ORAL & MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (678) 230-3187

## Contact information

- **Practice address:** 701 E COMMERCIAL BLVD FL 1, OAKLAND PARK, FL 33334-3392
- **Practice address phone:** (954) 772-2000
- **Mailing address:** 401 SW 1ST AVE APT 2101, FORT LAUDERDALE, FL 33301-4544
- **Mailing address phone:** (678) 230-3187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2025
- **Last updated:** 12/29/2025