NPIMap

Organization Active NPI

Samson Dental

  • General Practice Dentistry
  • Old Saybrook, CT
National Provider Identifier
1336551241
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9243 Issued in CT
Legal business name
SAMSON DENTAL
Practice address
25 Stage Rd
Old Saybrook, CT 06475-4232
Phone
(860) 388-3845
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wilford Samson, DDS
Title
Owner
Phone
(860) 388-3845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 9243 CT Primary

Addresses

Primary practice location

25 Stage Rd
Old Saybrook, CT 06475-4232

Mailing address

25 Stage Rd
Old Saybrook, CT 06475-4232
Phone (860) 388-3845

National Provider Directory

National Provider Directory
Tax ID family
Samson Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1336551241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STAGE RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754232",
            "telephone_number": "860-388-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 STAGE RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754232",
            "telephone_number": "860-388-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMSON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "WILFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "18603883845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.