DR. TREVAN SAMP (NPI# 1699267021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699267021 |
| Entity Type | Individual |
| Full Name | DR. TREVAN SAMP |
| Credential | DMD |
| Practice Address |
22 Westedge St Ste 106b Charleston SC 29403-6983 |
| Practice Telephone | 8436428100 |
| Mailing Telephone | 8436428100 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9591 | SC | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
22DI02655300 | NJ | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS041625 | PA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3131 Princeton Pike Bldg 1a, Lawrenceville, NJ 086482201 | 6098833636 | |
| 8332 Bustleton Ave, Philadelphia, PA 191521909 | 2153429000 | |
| 7900 Old York Rd, Elkins Park, PA 190272318 | 9206765563 | |
| 975 Savannah Hwy Ste 107b, Charleston, SC 294077851 | 8777665220 |
| Street Address |
22 WESTEDGE ST STE 106B |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29403-6983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210674 | Samantha Barretta | Behavior Technician | 530 Meeting St, Apt 409, Charleston, SC 29403 | 2020-03-23 |
| 1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
| 1194266072 | Ashley Rogers Albrecht | Dentist | 29 Bee St, Fourth Floor, Charleston, SC 29403 | 2017-03-13 |
| 1427467307 | Valerie Nicole Garilas | Pharmacist | 1400 Woodruff Road, Greenville, SC 29403 | 2014-08-05 |
| 1467883645 | Disabilities Board of Charleston County | Case Management | 995 Morrison Drive, Suite 100, Charleston, SC 29403 | 2013-12-12 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1205171964 | Brian Sherman | Psychologist | 26a Bee St., Charleston, SC 29403 | 2012-12-06 |
| 1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
| 1598990442 | Colleen Lehn Degeorge | Social Worker | 198 Rutledge Avenue, Suite 8, Charleston, SC 29403 | 2009-05-21 |
| 1164618815 | Diane Andrews | Speech-Language Pathologist | Musc Speech Language Pathology, 169 Ashley Ave Msc 335, Charleston, SC 29403 | 2007-09-17 |
| Find all providers in zip 29403 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893122 | Foster Orthodontics, Pa | Dentist | 625 Skylark Dr, Charleston, SC 29407-5782 | 2020-08-26 |
| 1487212171 | Kathleen Schessler | Dentist | 818 Beaumont Rd, Charleston, WV 25314-1815 | 2019-05-29 |
| 1992180335 | John Anthony Palmer IIi | Dentist | 867 Oakwood Road, Charleston, WV 25314 | 2015-07-28 |
| 1306159413 | Jennifer Ballantyne Berwick | Dentist | 712 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2010-07-17 |
| 1710102405 | Lavonne Kelly Fore | Dentist | 915 Folly Rd Ste T, Charleston, SC 29412-3907 | 2007-04-16 |
| 1295950699 | Luis Paulo Leite | Dentist | 56 Courtenay Dr, Charleston, SC 29403-5707 | 2007-04-13 |
| 1619029071 | R. Cary Bocklet | Dentist | 1845 Savage Rd, Charleston, SC 29407-4726 | 2007-01-17 |
| 1811048135 | Robert Dudley Calcote | Dentist | 163 Rutledge Ave, Suite 300, Charleston, SC 29403-5823 | 2007-01-15 |
| 1902974173 | Imad Shammaa | Dentist | 3920 Maccorkle Ave Se, Charleston, WV 25304 | 2006-12-04 |
| 1336211010 | W. Shane Holmes | Dentist | 867 Oakwood Rd, Charleston, WV 25314-2057 | 2006-11-15 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29403 |
Please comment or provide details below to improve the information on DR. TREVAN SAMP.
| 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.