DR. STEVEN DWIGHT SAMPLE


Address: 2301 Lullwater Rd, Albany, GA 31707-3180
Phone: 2294398896

DR. STEVEN DWIGHT SAMPLE (NPI# 1528147394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528147394
Entity Type Individual
Full Name DR. STEVEN DWIGHT SAMPLE
Credential D.D.S.
Practice Address 2301 Lullwater Rd
Albany
GA 31707-3180
Practice Telephone 2294398896
Practice Fax Number 2294354773
Mailing Telephone 2294398896
Mailing Fax Number 2294354773
Enumeration Date 2006-11-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
DN009288 GA Dental Providers

Other Providers STEVEN SAMPLE

NPI Name Taxonomy Address Enumeration
1639610330 Steven D. Sample Jr. Nurse Anesthetist, Certified Registered 225 E Robinson St, Suite 130, Orlando, FL 32801-4322 2017-03-14
1821362963 Steven Sample Social Worker 109 E Harrison Ave, Coeur D Alene, ID 83814-3238 2012-03-07

Office Location

Street Address 2301 LULLWATER RD
City ALBANY
State GA
Zip Code 31707-3180

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356793533 Southland Children's Dentistry Clinic/Center 2301 Lullwater Rd, Albany, GA 31707-3180 2016-07-12
1336531185 Kenneth Steve Sellers Jr. Dentist 2301 Lullwater Rd, Albany, GA 31707-3180 2015-03-02
1972928158 Eddie Ronald Fields Jr. Dentist 2301 Lullwater Rd, Albany, GA 31707-0001 2014-02-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396394011 Barbara Cannon Technician 2025 Gail Avenue, Albany, GA 31707 2019-09-05
1669941035 Wallace Coleman Counselor 2403 Osler Court, Suite B, Albany, GA 31707 2018-11-15
1992293955 Tiffany Timmerman Massage Therapist Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 2018-04-25
1225550957 Christopher George Solomon Nurse Practitioner 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 2017-07-14
1689107229 Teemercare @ Home LLC Home Health 1129 Dawson Rd Ste A, Albany, GA 31707 2017-04-11
1205373917 Nicarro Henderson Specialist 2005 E Dawson Rd, Albany, GA 31707 2017-01-20
1235567918 Restoration of The Minds LLC Community/Behavioral Health 1408 Edgerly Avenue, Albany, GA 31707 2013-10-16
1588091334 Marsha Danell Glover Pediatrics 517 N. Westover Blvd., Albany, GA 31707 2013-10-10
1003253139 Bailey Healthcare Inc Community/Behavioral Health 2416 Suite B Westgate Dr, Albany, GA 31707 2013-05-30
1346685666 Albany Urology Surgery Center LLC Clinic/Center 2400 Osler Court, Albany, GA 31707 2013-04-30
Find all providers in zip 31707

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336286517 Jay Vaikuntam Dentist 155 Nw Hickory St, Albany, OR 97321-1724 2007-01-30
1750378931 Lawrence Alan Kotlow Dentist 340 Fuller Rd, Albany, NY 12203-3647 2005-10-03
1003423641 Honeymint Pediatric Dentistry LLC Dentist 2350 14th Ave Se, Albany, OR 97322-6800 2020-09-28
1578045258 Juwon Park Dmd PC Dentist 4 Executive Park Dr, Albany, NY 12203-3718 2018-08-30
1336531185 Kenneth Steve Sellers Jr. Dentist 2301 Lullwater Rd, Albany, GA 31707-3180 2015-03-02
1972928158 Eddie Ronald Fields Jr. Dentist 2301 Lullwater Rd, Albany, GA 31707-0001 2014-02-25
1922430487 So & Valdez, A Professional Dental Corporatiom Dentist 847 San Pablo Ave, Albany, CA 94706-1602 2013-08-06
1881936441 Pediatric Dentistry of Albany,pllc Dentist 980 Western Ave, Albany, NY 12203-2799 2013-03-21
1922338128 Jeannette Marie Pope-ozimba Dentist 1505 W 3rd Ave, Ste A, Albany, GA 31707-3647 2010-01-11
1083866982 John Juwon Park Dentist 4 Executive Park Dr, Albany, NY 12203 2008-10-22
Find all providers in ALBANY

Competitor

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City ALBANY
Zip Code 31707

Improve Information

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Dataset Information

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.

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