DR. SAM WAKIM (NPI# 1053588798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053588798 |
| Entity Type | Individual |
| Full Name | DR. SAM WAKIM |
| Credential | D.M.D, M.P.H |
| Practice Address |
17 S Warren St Dover NJ 07801-4506 |
| Mailing Address |
331 W Main St Denville NJ 07834-1214 |
| Practice Telephone | 9733289100 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2012-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
DI 21632 | NJ | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DI 21632 | NJ | Dental Providers |
| Street Address |
17 S WARREN ST |
| City | DOVER |
| State | NJ |
| Zip Code | 07801-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859069 | Antonella Giovanna Rita Maietta | Dentist | 17 S Warren St, Dover, NJ 07801-4506 | 2005-05-27 |
| 1467071712 | Carolina Lopez | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2020-04-15 |
| 1366905572 | Nadia Shadani | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2019-04-13 |
| 1669935748 | Rochelle Michaela Farberov | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2019-04-07 |
| 1326545278 | Katerina Danchenko | Dentist | 17 S Warren St, Dover, NJ 07801-4506 | 2018-04-08 |
| 1932634367 | Rachel Talia Gold | Dentist | 17 S Warren St, Dover, NJ 07801-4506 | 2017-04-24 |
| 1437604022 | Zufall Health Dental Van | Clinic/Center | 17 S Warren St, Dover, NJ 07801-4506 | 2016-08-24 |
| 1114389103 | Paola Rodriguez | Dentist | 17 S Warren St, Dover, NJ 07801-4506 | 2016-03-28 |
| 1346600533 | Sheren Elsaid | Dentist | 17 S Warren St, Dover, NJ 07801-4506 | 2016-03-01 |
| 1265726194 | Teresita J Lawson | Pharmacist | 17 S Warren St, Dover, NJ 07801-4506 | 2011-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649808395 | Nereida Mendez | Counselor | 18 W. Blackwell St, Dover, NJ 07801 | 2020-03-30 |
| 1255968368 | Lyla H Azzam | Student in an Organized Health Care Education/Training Program | Zufall Health Center, 18 West Blackwell Street, Dover, NJ 07801 | 2020-03-26 |
| 1124675335 | Briana Marsich | Occupational Therapist | 65 North Susses Street, Dover, NJ 07801 | 2019-08-22 |
| 1285281352 | Health In Code, Inc | Physiological Laboratory | 2 East Blackwell Street, Suite 24, Dover, NJ 07801 | 2019-08-22 |
| 1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
| 1457506057 | Lauren S Majors | Nurse Practitioner | 18 W. Blackwell St., Dover, NJ 07801 | 2008-11-24 |
| 1306012182 | S M Golam Kibrea | Internal Medicine | 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 | 2008-05-01 |
| 1396921268 | East Blackwell Chiropractic, Inc | Chiropractor | 2 E Blackwell Street, Dover, NJ 07801 | 2008-01-10 |
| 1427247725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 E Mcfarlan St, Dover, NJ 07801 | 2007-10-23 |
| 1346449469 | Shari Lynn Morton | Occupational Therapy Assistant | 66 North Sussex Street, Dover, NJ 07801 | 2007-07-18 |
| Find all providers in zip 07801 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700312527 | Michael James Moeller | Dentist | 748 S New St Ste C, Dover, DE 19904-3573 | 2017-05-11 |
| 1497203814 | New Smile Dental | Dentist | 411 Us Highway 46, Dover, NJ 07801-3709 | 2016-09-14 |
| 1134571565 | Kehan Li | Dentist | 60 Wolf Creek Blvd, Dover, DE 19901-4971 | 2016-07-11 |
| 1609235787 | Dowell Dental Holdings Dover LLC | Dentist | 328 Race St, Dover, OH 44622-2930 | 2016-02-17 |
| 1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
| 1447671805 | Kelly Michele Hollis | Dentist | 2320 Dogwood Road, Dover, PA 17315 | 2014-01-02 |
| 1235402496 | Access Dental, LLC | Dentist | 446a S New St, Dover, DE 19904-6725 | 2012-02-20 |
| 1740417096 | Joseph A Loboda IIi | Dentist | 66 E Mcfarlan St Ste 3, Dover, NJ 07801-3533 | 2009-06-14 |
| 1275790990 | Scott W. Booth | Dentist | 404 N Walnut St, Dover, OH 44622-2850 | 2008-05-20 |
| 1710198163 | Dennis Louis Errichiello | Dentist | 411 Rt. 46 East, Dover, NJ 07801 | 2007-05-25 |
| Find all providers in DOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.