Miss Samantha T Guan
Dentist, Pediatric Dentistry in Philadelphia, Pennsylvania
1811570658- Practice location
- 6595C Roosevelt Blvd, Philadelphia, PA 19149-2918
- Phone
- 215-743-3700
- Fax
- 215-743-3715
- Last updated
- July 9, 2024
Samantha Ting Guan is a Dentist, Pediatric Dentistry based in Philadelphia, PA. Samantha Ting Guan practices in Philadelphia, PA. The NPI Number for Samantha Ting Guan is 1811570658 and holds a License No. 7714 (NE). The current practice location address for Samantha Ting Guan is 6595C Roosevelt Blvd, Philadelphia, PA 19149-2918 and can be reached out via phone at 215-743-3700 and via fax at 215-743-3715.
Provider Profile Details
- NPI Number
- 1811570658
- Provider Name
- Samantha Ting Guan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6595C Roosevelt Blvd, Philadelphia, PA 19149-2918
- Phone Number
- 215-743-3700
- Fax Number
- 215-743-3715
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 29, 2021
- Last Update Date
- July 9, 2024
- Certification Date
- July 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6595C Roosevelt Blvd
Philadelphia, PA 19149-2918 - City
- Philadelphia
- State
- Pennsylvania
- Zip
- 19149-2918
- Phone Number
- 215-743-3700
- Fax Number
- 215-743-3715
Provider Business Mailing Address Details
- Address
- 400 Beale St
Quincy, MA 02170-3228 - City
- Quincy
- State
- MA
- Zip
- 02170-3228
- Phone Number
- 857-756-0349
License Information
- License Number (1)
- 7714
- License State (1)
- NE
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 22DI03027500
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X
- License Number (3)
- DS043509
- License State (3)
- PA
- Taxonomy (3)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Philadelphia, PA
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- Dr. Dana K Chianese, DMDDentist, Pediatric Dentistry · NPI 1255594842
- Dr. Holly DO Nguyen, DMDDentist, Pediatric Dentistry · NPI 1619258969
- Dr. Meghan M Sullivan Walsh, DMDDentist, Pediatric Dentistry · NPI 1285828343
Frequently Asked Questions
What is the NPI number of Miss Samantha T Guan?
The NPI number of Miss Samantha T Guan is 1811570658. It was assigned on April 29, 2021 and is currently active in the NPPES registry.
What is the specialty of Miss Samantha T Guan?
Miss Samantha T Guan is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NE under license number 7714.
Where does Miss Samantha T Guan practice?
The practice location is 6595C Roosevelt Blvd, Philadelphia, PA 19149-2918. The office can be reached at 215-743-3700 (phone) or 215-743-3715 (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 1811570658 directly on the NPPES registry website.