National Provider Identifier

Samantha Smith

Samantha Smith is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Amherst, NY and a listed phone number of (716) 635-9657.

NPI 1124434626Amherst, NYGeneral Practice Dentistry

Profile Overview

NPI
1124434626
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
July 03, 2014
Last Updated
August 08, 2024

Practice Location

  • 31 Maple RD
  • Amherst, NY 14221-2920

Phone: (716) 635-9657

Mailing Address

  • 1714 Burrstone RD
  • New Hartford, NY 13413-1002

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1124434626
Entity Type
Individual
Last Name
Smith
First Name
Samantha
Mailing Street Address
1714 Burrstone RD
Mailing City
New Hartford
Mailing State
NY
Mailing ZIP Code
13413-1002
Mailing Country
US
Practice Street Address
31 Maple RD
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14221-2920
Practice Country
US
Practice Phone
(716) 635-9657
Practice Fax
(716) 635-9658
Enumeration Date
July 03, 2014
Last Updated
August 08, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
August 08, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)