Stanley Samuel, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

42286 Issued in TX

Practice address

419 Old Elkhart Rd Ste 110
Palestine, TX 75801-6047

Phone

(903) 723-4669

NPI assigned

Jan 22, 2024

Last updated

Jul 10, 2026By the provider in NPPES

Sex

Male

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

Practice roles

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

• Palestine Dental PLLC

  • General Practice Dentistry
  • Palestine, TX
  • NPI 1174907315
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1285495622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 LAKEFIELD DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 OLD ELKHART RD STE 110",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016047",
            "telephone_number": "903-723-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "STANLEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "42286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Gilberto Rubio Jr., BCBA
• Matthew Brian Rudolph, D.O.
• Denice Rutledge, COTA
• Tracie Ann Salas, LVN
• Carolyn F Salter, M.D.
• Luke Wayne Satterwhite
• George Eric Schroeder, MD
• Amy Schumaker
• Scion Management Group Inc. (MedLink, Inc.)
• Senior Management Services of Palestine Inc (Greenbrier Nursing & Rehabilitation Center)

• Dentist in Palestine, TX
• Providers in Palestine, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.