Samantha Brenner Jones, D.D.S., M.D.
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Solvang, CA
NPI 1104138684 · NPPES record last updated Aug 22, 2016
Key facts
- NPI
- 1104138684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 58552 (CA)
- Practice address
- 680 Alamo Pintado Rd
Suite #105
Solvang, CA 93463-2204 - Phone
- (805) 697-7412
- Fax
- (805) 691-9206
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 14, 2016 through Jul 14, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hall & Bienstock Oral & Maxillofacial Surgery Group | Oral and Maxillofacial Surgery | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58552 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 58552 | CA | Yes |
Addresses
Primary practice location
680 Alamo Pintado Rd
Suite #105
Solvang, CA 93463-2204
Mailing address
470 Mountain Dr
Santa Barbara, CA 93103-1735
Phone (203) 520-1339
Other names
- Dr. Samantha Erin Brenner
Other providers in Solvang, CA
- Delynn M. Jacobsen
- Richard Wayne Jarrette
- Jeffrey B Magnes MD
- Jerry D Merrell, DDS Inc
- Leslie Starr Jones
- Sara Schulze Jospeh
- Aben Arthur Kaslow
- Dusty Lee Keegan
- Douglas C. King
- John Robert Klein
All providers in Solvang, CA · Oral and Maxillofacial Surgery (Dentist) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.