Marquita A Samse, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

9974016 Issued in WI

Practice address

620 W Clairmont Ave
Chippewa Valley Technical College Dental Hygiene Clinic
Eau Claire, WI 54701

Phone

(715) 833-6370

Fax

(715) 833-6447

NPI assigned

Apr 23, 2008

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1508031303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W CLAIRMONT AVE",
            "address_2": "CHIPPEWA VALLEY TECHNICAL COLLEGE DENTAL HYGIENE CLINIC",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-833-6370",
            "fax_number": "715-833-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W CLAIRMONT AVE",
            "address_2": "CHIPPEWA VALLEY TECHNICAL COLLEGE DENTAL HYGIENE CLINIC",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-833-6370",
            "fax_number": "715-833-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSE",
        "first_name": "MARQUITA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "9974016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Salfai, OD
• Nadim Isam Salfiti, MD
• Megan Rose Salm
• Omama Samour, MD
• Sams East Inc
• Maria Samuel, MD
• Timothy Samuelson
• Kristen Ann Sandager, RNC APNP
• Thomas D Sandager, MD
• Cortney Marie Sands, PHARM D.

• Dental Hygienist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.