SAMUEL KORKIS (NPI# 1538529045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538529045 |
| Entity Type | Individual |
| Full Name | SAMUEL KORKIS |
| Credential | DDS, MS |
| Practice Address |
60 Timber Ln South Burlington VT 05403-7214 |
| Mailing Address |
60 Timber Ln Ste 1 South Burlington VT 05403-7287 |
| Practice Telephone | 8028646881 |
| Mailing Telephone | 8028646881 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2019-12-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
016.0133918 | VT | Dental Providers |
| Street Address |
60 TIMBER LN |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-7214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619966587 | Matthew Martin Rogers | Dentist | 60 Timber Ln, South Burlington, VT 05403-7214 | 2005-10-13 |
| 1841730348 | Eliza Callwood | Dentist | 60 Timber Ln, South Burlington, VT 05403-7214 | 2017-03-02 |
| 1205221918 | Emily Hill | Dentist | 60 Timber Ln, South Burlington, VT 05403-7214 | 2015-03-30 |
| 1235405424 | Mary Kathryn Deloach | Dentist | 60 Timber Ln, South Burlington, VT 05403-7214 | 2012-04-01 |
| 1023276573 | Shon Christopher Diguglielmo | Dentist | 60 Timber Ln, South Burlington, VT 05403-7214 | 2008-05-30 |
| 1134346885 | Theron John Main | Dentist | 60 Timber Ln, South Burlington, VT 05403-7214 | 2007-04-20 |
| 1518058627 | Thomas B Connolly | Dentist | 60 Timber Ln, South Burlington, VT 05403-7204 | 2006-09-27 |
| 1326139130 | Timberlane Dental Group | Dentist | 60 Timber Ln, South Burlington, VT 05403-7204 | 2006-09-27 |
| 1174622179 | Thomas J Fischer | Dentist | 60 Timber Ln, South Burlington, VT 05403-7204 | 2006-09-22 |
| 1093814097 | Thomas J Ruescher | Dentist | 60 Timber Ln, South Burlington, VT 05403-7204 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598884850 | Champlain Periodontal P.C. | Dentist | 37 Timber Ln, South Burlington, VT 05403-5201 | 2007-03-28 |
| 1659376465 | Brian D. Shuman | Dentist | 1775 Williston Rd, Ste 250, South Burlington, VT 05403-6491 | 2005-06-17 |
| 1457459752 | Francois D Letourneau | Dentist | 60 Timber Ln, South Burlington, VT 05403-7204 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| 1104038298 | Theodore C Polgar | Dentist | 144 Stratton Rd, Rutland, VT 05701-3744 | 2007-05-03 |
| 1689775934 | Brian D Huber | Dentist | 37 Timber Lane, So Burlington, VT 05403 | 2006-09-26 |
| 1689610073 | Curtis Thornton Middleton | Dentist | 54 Chickering Dr, Brattleboro, VT 05301-8861 | 2006-06-22 |
| 1689619074 | Associates In Periodontics, Plc | Dentist | 247 Pearl St, Suite 2, Burlington, VT 05401-8572 | 2006-06-18 |
| 1164073136 | Lynn H. Duboff, Dmd, Pllc | Dentist | 72 Allen St, Rutland, VT 05701-4568 | 2019-09-21 |
| 1386704948 | William Elliott Guild | Dentist | 160 Benmont Avenue, Suite 21, Bennington, VT 05201 | 2006-12-12 |
| 1396846655 | Nevin Zablotsky | Dentist | 37 Timber Lane, So Burlington, VT 05403 | 2006-09-26 |
| 1447267083 | Kateryna Latypova | Dentist | 160 Benmont Ave, Suite 21, Bennington, VT 05201 | 2006-08-02 |
| 1578583563 | Paul A. Levi Jr. | Dentist | 247 Pearl St, Burlington, VT 05401-8502 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
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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.