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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN009288 | GA | Dental Providers |
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 |
Street Address |
2301 LULLWATER RD |
City | ALBANY |
State | GA |
Zip Code | 31707-3180 |
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 |
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 Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
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 |
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 |
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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.