Lolade T Samuel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7323 Issued in NC

Practice address

307 N Greene St
Wadesboro, NC 28170-2182

Phone

(704) 287-8990

NPI assigned

Jul 2, 2007

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

Other identifiers 1

Other names 1

• Dr. Lolade Samuel-Cash Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Supreme Dental Hospital Services

  • Dental Clinic/Center
  • Wadesboro, NC
  • NPI 1033593314
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1114124104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "LILESVILLE",
            "state": "NC",
            "postal_code": "280910209",
            "telephone_number": "704-287-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N GREENE ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702182",
            "telephone_number": "704-287-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "LOLADE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899018K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOLADE",
            "last_name": "SAMUEL-CASH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Elizabeth Ricker, PA-C
• Robert Thomas Carpenter Jr.
• Norileen Rosales, OTR
• S & C Youth Homes Inc
• S & C Youth Homes Inc.
• Sandhills Center for Mental Health, Developmental Disabilities and Sub
• Sandhills Center for Mental Health, Developmental Disabilities and Sub
• Dyral Keith Shankle
• Samantha Shankle
• Rachel Chaya Shemtov, MD

• General Practice Dentistry in Wadesboro, NC
• Providers in Wadesboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.