Mark Samuels

General Practice Dentistry · Stratford, CT

Individual Active NPI

NPI number 1669593208

Practice location

88 Ryders Ln
Stratford, CT 06614-1666
Phone
(203) 378-1566
Fax
(203) 380-8390

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NPI record

NPI
1669593208
Entity type
Individual (Type 1)
Enumeration date
April 2, 2007
Last updated
April 4, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6758 CT

About Mark Samuels

Mark Samuels is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 88 Ryders Ln, Stratford, CT 06614-1666. The NPI number 1669593208 was assigned on April 2, 2007 and the record was last updated on April 4, 2014.

Mark Samuels lists a license in the registry: #6758 (CT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Samuels?

The NPI number is 1669593208.

What is the phone number of Mark Samuels?

The phone number listed for the practice location is (203) 378-1566.

Where is Mark Samuels located?

88 Ryders Ln, Stratford, CT 06614-1666.

What is the taxonomy code for Mark Samuels?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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