# SAMIR HAZIME DDS LLC

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

## Provider details

- **NPI number:** 1811817448
- **Authorized official:** SAMIR HAZIME DDS (OWNER)
- **Authorized official phone:** (313) 970-7043

## Contact information

- **Practice address:** 1626 S STATE ROAD 46, TERRE HAUTE, IN 47803-9301
- **Practice address phone:** (812) 877-2238
- **Mailing address:** 123 ROME CT, TERRE HAUTE, IN 47803-9463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2026
- **Last updated:** 07/15/2026