NPIMap

Organization Active NPI

Samson Dental

  • Dental Hygienist
  • Old Saybrook, CT
National Provider Identifier
1508242892
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
8405 Issued in CT
Legal business name
SAMSON DENTAL
Practice address
25 Stage Rd
Old Saybrook, CT 06475-4232
Phone
(860) 388-3845
NPI assigned
Aug 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Dr. Wilford Samson, D.D.S
Title
Dentist
Phone
(860) 388-3845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 8405 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.

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1508242892",
    "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": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "WILFORD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-388-3845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "8405",
            "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 Aug 10, 2015; 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.