Active NPIIndividual provider

Dr. Dimitri Samaratunga, DMD

Dentist in Fitchburg, Massachusetts

NPI Number1790199438
Practice location
130 Water St, Fitchburg, MA 01420-5478
Fax
—
Last updated
June 19, 2014

Dimitri Samaratunga is a Dentist based in Fitchburg, MA. Dimitri Samaratunga practices in Fitchburg, MA and has the professional credentials of DMD. The NPI Number for Dimitri Samaratunga is 1790199438 and holds a License No. DN1856608 (MA). The current practice location address for Dimitri Samaratunga is 130 Water St, Fitchburg, MA 01420-5478 and can be reached out via phone at 978-342-8500.

Provider Profile Details

NPI Number
1790199438
Provider Name
Dimitri Samaratunga
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
130 Water St, Fitchburg, MA 01420-5478
Phone Number
978-342-8500
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2014
Last Update Date
June 19, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Water St
Fitchburg, MA 01420-5478
Zip
01420-5478
Phone Number
978-342-8500
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
130 Water St
Fitchburg, MA 01420-5478
City
Fitchburg
State
MA
Zip
01420-5478
Phone Number
978-342-8500

License Information

License Number (1)
DN1856608
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
DN1856608
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X

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 Dr. Dimitri Samaratunga, DMD?

The NPI number of Dr. Dimitri Samaratunga, DMD is 1790199438. It was assigned on June 19, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Dimitri Samaratunga, DMD?

Dr. Dimitri Samaratunga, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1856608.

Where does Dr. Dimitri Samaratunga, DMD practice?

The practice location is 130 Water St, Fitchburg, MA 01420-5478. The office can be reached at 978-342-8500 (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 1790199438 directly on the NPPES registry website.

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