DR. SAMUEL LI (NPI# 1275829681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275829681 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL LI |
| Credential | DDS |
| Practice Address |
469 Buckland Rd South Windsor CT 06074 |
| Mailing Address |
162 Beelzebub Rd South Windsor CT 06074-2279 |
| Practice Telephone | 8606442136 |
| Mailing Telephone | 9177230403 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
010813 | CT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 733 Terryville Ave, Bristol, CT 060104034 | 8605840441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902300643 | Samuel Li | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 300, Baltimore, MD 21201 | 2018-03-19 |
| 1639269178 | Samuel C Li | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2006-10-13 |
| 1386752475 | Samuel Li | Anesthesiology | 1205 E North St, Manteca, CA 95336-4932 | 2006-08-28 |
| Street Address |
469 BUCKLAND RD |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548205412 | Amy L Person | Chiropractor | 469 Buckland Rd, Suite 104, South Windsor, CT 06074-3737 | 2006-06-17 |
| 1306396122 | Lindsey Wells | Naturopath | 469 Buckland Rd, Suite 102, South Windsor, CT 06074-3737 | 2016-10-05 |
| 1497146559 | Faraneh Carnegie-hargreaves | Chiropractor | 469 Buckland Rd, South Windsor, CT 06074-3737 | 2015-02-11 |
| 1871993766 | Rubin Family Dentistry & Associates, LLC | Dentist | 469 Buckland Rd, South Windsor, CT 06074-3737 | 2014-08-27 |
| 1689811606 | Connecticut Chiropractic Family Wellness Center LLC | Chiropractor | 469 Buckland Rd, Ste D, South Windsor, CT 06074-3737 | 2009-01-13 |
| 1437319860 | Rubin Dental Practice | Dentist | 469 Buckland Rd, South Windsor, CT 06074-3737 | 2008-06-10 |
| 1477726552 | Lawrence J Andrus Dds | Dentist | 469 Buckland Rd, South Windsor, CT 06074 | 2008-04-09 |
| 1083736219 | Satoko Ono Rubin | Dentist | 469 Buckland Rd, South Windsor, CT 06074-3737 | 2007-04-06 |
| 1003934233 | Todd Barry Rubin | Dentist | 469 Buckland Rd, South Windsor, CT 06074-3737 | 2007-03-26 |
| 1427175256 | Mark D. Rubin | Dentist | 469 Buckland Rd, South Windsor, CT 06074-3737 | 2007-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| 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 |
|---|---|---|---|---|
| 1790072510 | Zachary T Grillo | Dentist | 498 Buckland Rd, South Windsor, CT 06074-3708 | 2011-06-30 |
| 1457641136 | Evergreen Dental Group, LLC | Dentist | 34 Evergreen Way, South Windsor, CT 06074-6976 | 2011-04-14 |
| 1558550574 | Edmundo R Aquije | Dentist | 469 Buckland Rd., South Windsor, CT 06074 | 2007-10-16 |
| 1740492206 | Douglas Charles Clouser | Dentist | 678 Pleasant Valley Rd, South Windsor, CT 06074-3464 | 2007-05-04 |
| 1700900792 | Kevin Hugo Norige | Dentist | 112 Deming St, South Windsor, CT 06074-3711 | 2007-03-17 |
| 1285643361 | Walter Pierog | Dentist | 866 Foster Street Ext, South Windsor, CT 06074-2116 | 2006-08-06 |
| 1750302980 | Dental Services of South Windsor, LLC | Dentist | 479 Buckland Road, South Windsor, CT 06074-3515 | 2006-07-22 |
| 1003890443 | Robert J Zatz | Dentist | 1740 Ellington Rd, South Windsor, CT 06074-2768 | 2005-11-30 |
| 1871993766 | Rubin Family Dentistry & Associates, LLC | Dentist | 469 Buckland Rd, South Windsor, CT 06074-3737 | 2014-08-27 |
| 1811270671 | Helen Wong Tang | Dentist | 435 Buckland Rd, South Windsor, CT 06074-3720 | 2011-09-27 |
| Find all providers in SOUTH WINDSOR | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
Please comment or provide details below to improve the information on DR. SAMUEL LI.
| 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.