Mark Samuels
Dentist, General Practice in Stratford, Connecticut
1669593208- Practice location
- 88 Ryders Ln, Stratford, CT 06614-1666
- Phone
- 203-378-1566
- Fax
- 203-380-8390
- Last updated
- April 4, 2014
Mark Samuels is a Dentist, General Practice based in Stratford, CT. Mark Samuels practices in Stratford, CT. The NPI Number for Mark Samuels is 1669593208 and holds a License No. 6758 (CT). The current practice location address for Mark Samuels is 88 Ryders Ln, Stratford, CT 06614-1666 and can be reached out via phone at 203-378-1566 and via fax at 203-380-8390.
Provider Profile Details
- NPI Number
- 1669593208
- Provider Name
- Mark Samuels
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 88 Ryders Ln, Stratford, CT 06614-1666
- Phone Number
- 203-378-1566
- Fax Number
- 203-380-8390
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2007
- Last Update Date
- April 4, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 88 Ryders Ln
Stratford, CT 06614-1666 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-1666
- Phone Number
- 203-378-1566
- Fax Number
- 203-380-8390
Provider Business Mailing Address Details
- Address
- 88 Ryders Ln
Stratford, CT 06614-1666 - City
- Stratford
- State
- CT
- Zip
- 06614-1666
- Phone Number
- 203-378-1566
- Fax Number
- 203-380-8390
License Information
- License Number
- 6758
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mark Samuels?
The NPI number of Mark Samuels is 1669593208. It was assigned on April 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Mark Samuels?
Mark Samuels is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 6758.
Where does Mark Samuels practice?
The practice location is 88 Ryders Ln, Stratford, CT 06614-1666. The office can be reached at 203-378-1566 (phone) or 203-380-8390 (fax).
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 1669593208 directly on the NPPES registry website.