MARK SAMUELS (NPI# 1669593208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669593208 |
| Entity Type | Individual |
| Full Name | MARK SAMUELS |
| Practice Address |
88 Ryders Ln Stratford CT 06614-1666 |
| Practice Telephone | 2033781566 |
| Practice Fax Number | 2033808390 |
| Mailing Telephone | 2033781566 |
| Mailing Fax Number | 2033808390 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6758 | CT | Dental Providers |
| Street Address |
88 RYDERS LN |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336178276 | Stratford Visiting Nurse Association, Inc. | Home Health | 88 Ryders Ln, Stratford, CT 06614-1666 | 2006-07-02 |
| 1548751449 | David Joseph Defilippo | Clinic/Center | 88 Ryders Ln, Stratford, CT 06614-1666 | 2018-05-25 |
| 1295105716 | Mak Wellness Solutions LLC | Chiropractor | 88 Ryders Ln, Suite 101, Stratford, CT 06614 | 2015-09-26 |
| 1902283328 | Mark Konopka | Chiropractor | 88 Ryders Ln, Suite 101, Stratford, CT 06614-1666 | 2015-05-05 |
| 1851788723 | Northeast Dental of Stratford,llc | Dentist | 88 Ryders Ln, Stratford, CT 06614-1666 | 2015-04-18 |
| 1528223427 | Precision Hearing Specialists, LLC | Hearing Instrument Specialist | 88 Ryders Ln, Stratford, CT 06614-1666 | 2008-07-21 |
| 1013109628 | Robert Sbriglio | Psychiatry & Neurology | 88 Ryders Ln, Suite 208, Stratford, CT 06614-1666 | 2007-08-16 |
| 1427258300 | Lighthouse Dental Care, LLC | Dentist | 88 Ryders Ln, Stratford, CT 06614-1666 | 2007-07-19 |
| 1982725537 | Joseph Jarmon | Dentist | 88 Ryders Ln, Stratford, CT 06614-1666 | 2007-04-02 |
| 1952487597 | Pamela Mcmahon | Physical Therapist | 88 Ryders Ln, Stratford, CT 06614-1666 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| 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 |
|---|---|---|---|---|
| 1912461526 | A-smile LLC | Dentist | 937 Stratford Ave Ste 1, Stratford, CT 06615-6354 | 2019-01-28 |
| 1437344249 | Ariadni Karga | Dentist | 937 Stratford Ave, Suite 1, Stratford, CT 06615-6354 | 2007-09-14 |
| 1669674115 | Mark Lee Zamat | Dentist | 1200 Linden Ave, Stratford, CT 06615-5835 | 2007-06-05 |
| 1770615254 | Neil A Goodkind | Dentist | 3638 Main St, Stratford, CT 06614-4195 | 2007-03-11 |
| 1407918105 | Edward J. Balling | Dentist | 62 Warwick Rd, Stratford, NJ 08084-1729 | 2006-12-16 |
| 1679652531 | Harry Crisfield Brown | Dentist | 105 E Laurel Rd, Stratford, NJ 08084-1324 | 2006-11-03 |
| 1124109756 | Gerald Alan Belkin | Dentist | 2318 Main Street, Stratford, CT 06615 | 2006-10-18 |
| 1497840706 | Krystyna Zietkiewicz | Dentist | 88 Ryders Lane, Stratford, CT 06614 | 2006-10-03 |
| 1346359544 | Frank A. Ross Jr. | Dentist | 1761 W Broad St, Stratford, CT 06615-5752 | 2006-08-30 |
| 1609886480 | Stratford Dental Care PC | Dentist | 373 Nichols Ave, Stratford, CT 06614 | 2006-08-08 |
| Find all providers in STRATFORD | ||||
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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.