Stephen Marvin Sampson, DDS
Individual provider Active NPI General Practice Dentistry · Westfield, PA
NPI 1104848415 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104848415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS021305L (PA)
- Practice address
- 108 E Main St
Westfield, PA 16950-1605 - Phone
- (814) 367-5501
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS021305L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS021305L | PA | Yes |
Addresses
Primary practice location
108 E Main St
Westfield, PA 16950-1605
Mailing address
108 E Main St
Westfield, PA 16950-1605
Phone (814) 367-5501
Other providers in Westfield, PA
- Curt K Heitmeyer
- Susan J Miller
- Janet Louise Murray
- North Penn Comprehensive Health Services
- Novapharm Enterprises Inc.
- Meghan Simpson
- Summit BHC Westfield, LLC
- Lawrence Ellis Tama
All providers in Westfield, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.