Alan Lee Samuel, D.D.S.

General Practice Dentistry · Eureka, CA

Individual Active NPI

NPI number 1710033618

Practice location

615 Harris St
Eureka, CA 95503-4447
Phone
(707) 442-1754
Fax
(707) 442-1755

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NPI record

NPI
1710033618
Entity type
Individual (Type 1)
Enumeration date
January 25, 2007
Last updated
June 25, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 24852 CA

Mailing address

16 36TH Pl Unit a
Long Beach, CA 90803-2635
Phone
(707) 834-4017

About Dr. Samuel

Alan Lee Samuel, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 615 Harris St, Eureka, CA 95503-4447. The NPI number 1710033618 was assigned on January 25, 2007 and the record was last updated on June 25, 2013.

Dr. Samuel lists a license in the registry: #24852 (CA) 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 Alan Lee Samuel, D.D.S.?

The NPI number is 1710033618.

What is the phone number of Dr. Samuel?

The phone number listed for the practice location is (707) 442-1754.

Where is Dr. Samuel located?

615 Harris St, Eureka, CA 95503-4447.

What is the taxonomy code for Dr. Samuel?

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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