# SAMIR B. HISHMEH, D.D.S., PA

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

## Provider details

- **NPI number:** 1821245903
- **Authorized official:** DR. SAMIR B. HISHMEH D.D.S. (ORAL SURGEON, PRESIDENT)
- **Authorized official phone:** (301) 384-5700

## Contact information

- **Practice address:** 2415 MUSGROVE RD, 109, SILVER SPRING, MD 20904-5200
- **Practice address phone:** (301) 384-5700
- **Practice address fax:** (301) 384-5619
- **Mailing address:** 2415 MUSGROVE RD, 109, SILVER SPRING, MD 20904
- **Mailing address phone:** (301) 384-5700
- **Mailing address fax:** (301) 384-5619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | MD07977 | MD | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | MD07977 | MD | Yes |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | MD07977 | MD | — |

## Other

- **Enumeration date:** 08/20/2008
- **Last updated:** 08/20/2008