Samuel Edward Molind, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

08222 Issued in TN

Practice address

210 Memorial Dr
Bristol, TN 37620-1704

Phone

(423) 652-0260

Fax

(423) 652-0694

NPI assigned

Nov 19, 2014

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": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1194122135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MEMORIAL DR",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201704",
            "telephone_number": "423-652-0260",
            "fax_number": "423-652-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEMORIAL DR",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201704",
            "telephone_number": "423-652-0260",
            "fax_number": "423-652-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLIND",
        "first_name": "SAMUEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "08222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Lee Miller, PA-C
• Maylee Grace Miracle, PMHNP-BC
• Thomas E Mitoraj, MD
• Victoria Kailand Moaf
• Nafees Ameer Mohammed, MBBS
• Kate L Molony, D.O.
• Ravenn Jade Monington
• Tammy Monk, FNP
• Meredith Condrey Montgomery, CNM
• Linda Chong Moody, NP

• Oral and Maxillofacial Surgery (Dentist) in Bristol, TN
• Providers in Bristol, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.