Samantha Slutsky, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS043108 Issued in PA

Practice address

5597 Tulip St Ste B4
Philadelphia, PA 19124-1562

Phone

(215) 344-7400

NPI assigned

Oct 11, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1003578626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S 23RD ST UNIT 3M",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033026",
            "telephone_number": "267-664-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5597 TULIP ST STE B4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241562",
            "telephone_number": "215-344-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUTSKY",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Slowik, D.C.
• Julian Walter Slowinski, PSYD
• Harold P Slutsky, D.M.D.,P.C.
• Jay Slutsky, D.O.
• Lyudmila Emily Slutsky, CRNP
• Valentin Slutsky, PH.D.
• Kelly Smack, LSW
• Marc C Smaldone, M.D.
• Rachael Smalfus, ATC
• Calvin Joseph Small, M.D.

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.