Jonathon Lee Samburg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DO4341 Issued in CT

Practice address

437 Orange St
New Haven, CT 06511-6202

Phone

(203) 865-4843

Fax

(203) 865-1891

NPI assigned

Sep 26, 2006

Sex

Male

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093816506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116202",
            "telephone_number": "203-865-4843",
            "fax_number": "203-865-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116202",
            "telephone_number": "203-865-4843",
            "fax_number": "203-865-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBURG",
        "first_name": "JONATHON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "DO4341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard P Salzano Jr., MD
• Jeffrey Peter Sam
• Safiyah Samad, MD
• Tamara Samardzic, MD
• Johanna Samberg-Champion, MSW
• Muneeb Samma, MD
• Joanna Samoskevich
• Ramya Sampath, MD
• Cristal Analisa Sampson, PMHNP-BC
• Marc D Samsky, M.D.

• General Practice Dentistry in New Haven, CT
• Providers in New Haven, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.