Samantha Lynn Mullin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

015478 Issued in MO

Practice address

211 N Clay Street
Suite B
Marshfield, MO 65706-2144

Phone

(417) 468-2129

Fax

(417) 859-0533

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235274895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N CLAY STREET",
            "address_2": "SUITE B",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062144",
            "telephone_number": "417-468-2129",
            "fax_number": "417-859-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N CLAY STREET",
            "address_2": "SUITE B",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062144",
            "telephone_number": "417-468-2129",
            "fax_number": "417-859-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "015478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean R Menown, NP-C
• Macia Metz
• Whitney Miller
• Missouri Dental Professionals, Richard Straus, DMD, PC (Marshfield Family Dental Care)
• Sienna Bethany Morrow, LMSW
• Christian Nguyen, PA-C
• Nightingale Hearing Center LLC
• Michele R Novotny, HIS
• Nurture Therapy LLC
• Cynthia Jane Olson, RPH

• Dentist in Marshfield, MO
• Providers in Marshfield, MO by specialty
• Dentist in Missouri

• 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.