SAMANTHA RENEE ZACIEWSKI (NPI# 1215082342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215082342 |
| Entity Type | Individual |
| Full Name | SAMANTHA RENEE ZACIEWSKI |
| Credential | DDS |
| Practice Address |
27 St Lawrence Dr Suite 109 Tiffin OH 44883-8312 |
| Practice Telephone | 4194477337 |
| Mailing Telephone | 4194477337 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30-022212 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | DORAL | 9182269 | 01 |
| OH | PARAMOUNT | 04968 | 01 |
| OH | 2624815 | 05 |
| Street Address |
27 ST LAWRENCE DR SUITE 109 |
| City | TIFFIN |
| State | OH |
| Zip Code | 44883-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606727 | Dipakkumar P Amin | Family Medicine | 27 St Lawrence Dr, Suite 103, Tiffin, OH 44883-8312 | 2005-08-18 |
| 1598289506 | Marissa Anne Dickinson | Speech-Language Pathologist | 27 St Lawrence Dr, Tiffin, OH 44883-8312 | 2017-08-01 |
| 1063935088 | Jessica Mckeever | Speech-Language Pathologist | 27 St Lawrence Dr, Tiffin, OH 44883-8312 | 2017-07-21 |
| 1124566351 | Kathryn R Gruenemeyer | Occupational Therapist | 27 St Lawrence Dr, Suite 104, Tiffin, OH 44883-8312 | 2017-02-08 |
| 1639561392 | Bethany Parsell | Nurse Practitioner | 27 St Lawrence Dr, Suite 204, Tiffin, OH 44883-8312 | 2015-03-04 |
| 1538562681 | Marina Home Health, LLC | Durable Medical Equipment & Medical Supplies | 27 St Lawrence Dr, Suite 107, Tiffin, OH 44883-8312 | 2014-10-03 |
| 1548690217 | Tgz Holdings LLC | Clinic/Center | 27 St Lawrence Dr, Suite 204, Tiffin, OH 44883-8312 | 2013-11-17 |
| 1811245483 | Brittany Draper | Physical Therapist | 27 St Lawrence Dr, Suite 104, Tiffin, OH 44883-8312 | 2012-08-29 |
| 1104191337 | Saralyn Chickos-scherley | Speech-Language Pathologist | 27 St Lawrence Dr, Suite 104, Tiffin, OH 44883-8312 | 2012-03-21 |
| 1497020622 | Katlyn Martin | Speech-Language Pathologist | 27 St Lawrence Dr, Suite 104, Tiffin, OH 44883-8312 | 2012-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255758 | Aaron Michael Konkle | Pharmacist | 2801 State Route 18, Tiffin, OH 44883 | 2020-11-04 |
| 1487286159 | Sandra Natole | Counselor | 200 St Francis Ave, Tiffin, OH 44883 | 2020-02-10 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1801440250 | Kenneth Oswald | Counselor | 3055 S Sr 100, Tiffin, OH 44883 | 2019-07-24 |
| 1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
| 1578033114 | Morgan Leann Fultz | Student in an Organized Health Care Education/Training Program | 310 East Market St, Tiffin, OH 44883 | 2018-11-27 |
| 1568989630 | Alicia Taylor Frank | Speech-Language Pathologist | 797 E. Clinton Tr 201, Tiffin, OH 44883 | 2017-08-29 |
| 1861938920 | Devin Erika Fry | Physical Therapy Assistant | 2550 Oh-100, Tiffin, OH 44883 | 2017-01-13 |
| 1407392608 | Erica Hoffman | Occupational Therapy Assistant | 2550 Oh 100, Tiffin, OH 44883 | 2017-01-11 |
| 1164973509 | Spencers Home Modifications | Contractor | 8 High Pointe Court, Tiffin, OH 44883 | 2016-10-20 |
| Find all providers in zip 44883 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770096430 | Merkley Midwest - Ohio, P.a. | Dentist | 19 W Market St Ste A, Tiffin, OH 44883-2772 | 2017-11-15 |
| 1982803870 | Richard L Fletcher Dds Inc | Dentist | 300 W Market St, Tiffin, OH 44883-2733 | 2007-07-12 |
| 1851505291 | Robert Warren Baxter | Dentist | 233 S Monroe St, Tiffin, OH 44883-2905 | 2007-05-09 |
| 1043423999 | Jeffrey Alan Hoyda | Dentist | 8 Oakwood Dr, Tiffin, OH 44883-1976 | 2007-05-08 |
| 1396882171 | Ralph Joseph Temple | Dentist | 2540 S State Route 100, Tiffin, OH 44883-9356 | 2007-01-31 |
| 1871698324 | Jeffrey D Shawberry | Dentist | 66 Ashwood Dr, Tiffin, OH 44883-1908 | 2006-09-13 |
| 1730297904 | Kevin Michael Hart | Dentist | 113 W Marengo Rd, Tiffin, IA 52340-9212 | 2006-08-28 |
| 1326034661 | James C Wilson | Dentist | 19 W Market St, Suite A, Tiffin, OH 44883-2772 | 2005-09-22 |
| 1447753918 | Julius M. Kioko Jr. | Dentist | 1344 W Seneca Ave, Tiffin, OH 44883-2652 | 2018-03-12 |
| 1902296262 | Weininger Family Dentistry LLC | Dentist | 2540 S State Route 100, Tiffin, OH 44883-9356 | 2015-01-26 |
| Find all providers in TIFFIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.