Benjamin Samardak

Dentist · Lawrenceville, GA

Individual Active NPI

NPI number 1801565718

Practice location

3455 Lawrenceville Hwy # 30044
Lawrenceville, GA 30044-4101
Phone
(770) 921-1115

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NPI record

NPI
1801565718
Entity type
Individual (Type 1)
Enumeration date
September 13, 2021
Last updated
January 24, 2023
Certified
January 24, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN122605 GA

Mailing address

1660 Peachtree St NW
Atlanta, GA 30309-2470
Phone
(585) 689-0786

About Benjamin Samardak

Benjamin Samardak is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3455 Lawrenceville Hwy # 30044, Lawrenceville, GA 30044-4101. The NPI number 1801565718 was assigned on September 13, 2021 and the record was last updated on January 24, 2023.

Benjamin Samardak lists a license in the registry: #DN122605 (GA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Samardak?

The NPI number is 1801565718.

What is the phone number of Benjamin Samardak?

The phone number listed for the practice location is (770) 921-1115.

Where is Benjamin Samardak located?

3455 Lawrenceville Hwy # 30044, Lawrenceville, GA 30044-4101.

What is the taxonomy code for Benjamin Samardak?

The primary taxonomy code is 122300000X – Dentist.

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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