Lisa Daniel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN1001492 Issued in DC

Practice address

14203 Village Manor CT
Upper Marlboro, MD 20774-8581

Phone

(786) 547-1103

NPI assigned

Jul 22, 2014

Last updated

Feb 12, 2016By 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

Other names 1

• Lisa Samough Former name

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1386051399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14203 VILLAGE MANOR CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748581",
            "telephone_number": "786-547-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14203 VILLAGE MANOR CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748581",
            "telephone_number": "786-547-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SAMOUGH",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luis R. P. Da Conceicao, PAC
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• Damian Waters & Associates, LLC (Waters & Associates)
• Garnell Daniels
• Jordan Dominique Daniels
• Karren Reese Daniels, O.D.
• Danyame Healthcare Services LLC
• Dare to Care Too LLC

• General Practice Dentistry in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.