Active NPIIndividual providerSole proprietor

Samantha B Mora, DDS

Student in an Organized Health Care Education/Training Program in North Providence, Rhode Island

NPI Number1255122321
Practice location
1637 Mineral Spring Ave, North Providence, RI 02904-4042
Fax
—
Last updated
May 16, 2025

Samantha Berenice Mora is a Student in an Organized Health Care Education/Training Program based in North Providence, RI. Samantha Berenice Mora practices in North Providence, RI and has the professional credentials of DDS. The NPI Number for Samantha Berenice Mora is 1255122321. The current practice location address for Samantha Berenice Mora is 1637 Mineral Spring Ave, North Providence, RI 02904-4042 and can be reached out via phone at 401-787-1608.

Provider Profile Details

NPI Number
1255122321
Provider Name
Samantha Berenice Mora
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1637 Mineral Spring Ave, North Providence, RI 02904-4042
Phone Number
401-787-1608
Sole Proprietor
Yes
Provider Enumeration Date
May 16, 2025
Last Update Date
May 16, 2025
Certification Date
May 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1637 Mineral Spring Ave
North Providence, RI 02904-4042
Zip
02904-4042
Phone Number
401-787-1608
North Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
184 Woonasquatucket Ave Apt 310
Providence, RI 02911-7122
City
Providence
State
RI
Zip
02911-7122
Phone Number
402-312-8490

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samantha B Mora, DDS?

The NPI number of Samantha B Mora, DDS is 1255122321. It was assigned on May 16, 2025 and is currently active in the NPPES registry.

What is the specialty of Samantha B Mora, DDS?

Samantha B Mora, DDS is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Samantha B Mora, DDS practice?

The practice location is 1637 Mineral Spring Ave, North Providence, RI 02904-4042. The office can be reached at 401-787-1608 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255122321 directly on the NPPES registry website.

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