DR. SAMUEL BLUM (NPI# 1063583698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063583698 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL BLUM |
| Credential | DDS |
| Practice Address |
15720 Crabbs Branch Way No 1 C Rockville MD 20855 |
| Practice Telephone | 3019219490 |
| Practice Fax Number | 3019210602 |
| Mailing Telephone | 3019219490 |
| Mailing Fax Number | 3019210602 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | MD3672 | MD | Dental Providers |
| Street Address |
15720 CRABBS BRANCH WAY NO 1 C |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801388525 | Michael Robinson | Behavior Technician | 7613 Standish Place, Rockville, MD 20855 | 2018-05-30 |
| 1144722885 | Samantha Green | Occupational Therapist | 15850 Crabbs Branch Way # 150, Rockville, MD 20855 | 2018-03-07 |
| 1144690157 | Katrina Williams | Psychologist | 15744 Crabbs Branch Way Ste 100, Derwood, MD 20855 | 2015-10-02 |
| 1720321888 | Melanie Milczarski Smith | Specialist | 17620-a Redland Road, Rockville, MD 20855 | 2013-03-27 |
| 1104155167 | Nicole Renee Christenson | Nurse Practitioner | 6001 Muncaster Mill Rd., Rockville, MO 20855 | 2009-12-21 |
| 1104093244 | Diane Klucinikas Boyd | Audiologist | 18520 Azalea Drive, Derwood, MD 20855 | 2008-05-08 |
| 1437320413 | Shana Rene Mizzer | Social Worker | 8915 Shady Grove Court, Derwood, MD 20855 | 2008-03-18 |
| 1083786032 | Mary Foster Herbers | Social Worker | 15521 Villisca Terrace, Rockville, MD 20855 | 2006-11-14 |
| 1538639182 | Jamie Jackson | Behavior Technician | 7529 Standish Pl, Rockville, MD 20855 | 2018-11-27 |
| 1942781653 | Tiya Walston | Behavioral Analyst | 7613 Standish Pl, Rockville, MD 20855 | 2018-08-22 |
| Find all providers in zip 20855 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1366982373 | Fahad Kidwai | Dentist | 848 New Mark Esplanade, Rockville, MD 20850-2750 | 2017-02-24 |
| 1467909952 | Madison Dental LLC | Dentist | 15020 Shady Grove Road, Suite 360, Rockville, MD 20850 | 2016-09-01 |
| 1255787792 | Eunhyae Park | Dentist | 15 Pitt Ct, Rockville, MD 20850-1027 | 2016-05-13 |
| 1568891141 | Eftekhar A Hassani,dds,pa | Dentist | 4701 Randolph Rd Ste 205, Rockville, MD 20852-2261 | 2013-11-05 |
| 1356775613 | Farshad Samadnejad | Dentist | 5405 Tuckerman Ln, Apt. # 453, Rockville, MD 20852-7301 | 2013-08-22 |
| 1598002560 | Todd Curtis Wasserman | Dentist | 14955 Shady Grove Rd Ste 200, Rockville, MD 20850-8715 | 2013-01-11 |
| 1396081014 | Derrick Chen | Dentist | 15955 Frederick Rd # 1431, Rockville, MD 20855-2218 | 2012-12-28 |
| 1093091001 | Mariano Angel Bofill | Dentist | 5864 Hubbard Dr, Rockville, MD 20852-4820 | 2011-10-24 |
| 1184903676 | Farah Assadipour Singh | Dentist | 5802 Hubbard Drive, Rockville, MD 20852 | 2011-08-15 |
| Find all providers in ROCKVILLE | ||||
Please comment or provide details below to improve the information on DR. SAMUEL BLUM.
| 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.