Healthcare Provider Details

I. General information

NPI: 1760301451
Provider Name (Legal Business Name): SAMER ALBADAWI, DMD, MPH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 BLUE OAKS BLVD STE 120
ROSEVILLE CA
95747-7346
US

IV. Provider business mailing address

1356 BEAR CREEK DR
ROCKLIN CA
95765-6024
US

V. Phone/Fax

Practice location:
  • Phone: 916-975-9229
  • Fax: 916-468-4767
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: SAMER ALBADAWI
Title or Position: OWNER ORAL SURGEON
Credential: DMD
Phone: 661-496-1470