SAMI A. NIZAM, II MD, DMD – NPI #1205150190
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

SAMI NIZAM, II is an oral & maxillofacial surgeon located in MONTGOMERY, AL. NPPES has assigned the NPI number 1205150190 to SAMI NIZAM, II on March 21, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 8 years ago on Jul 30, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMI NIZAM, II below.

NPI Profile for
SAMI A. NIZAM, II

NPI Number
1205150190
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMI A. NIZAM, II
Credentials
MD, DMD
Primary location
4590 WOODMERE BLVD
MONTGOMERY, AL 36106
Phone: (334) 271-2002 Fax:
3 Other location(s):
10809 Executive Center Dr Ste 100
Little Rock, AR 72211-6020
Phone: (501) 227-0707
12018 Chenal Pkwy
Little Rock, AR 72211-2759
Phone: (501) 244-3662
110 Bergen St Rm B854
Newark, NJ 07103-2495
Phone: (386) 344-2816
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)
AL 6484C
208200000X
- Plastic Surgery
AR E-10461
122300000X
- Dentist
NJ 22DI02509400

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.