Samuel Dexter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13906 Issued in NC

Practice address

1701 SE Greenville Blvd
Greenville, NC 27858-4811

Phone

(252) 375-8755

NPI assigned

May 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Kamp Roberts & Associates PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greenville, NC
  • NPI 1811633282
  NPD
• Roberts Kamp & Associates PLLC

  • General Practice Dentistry
  • Greenville, NC
  • NPI 1235800897
  NPD

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1770322158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 COURT AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042403",
            "telephone_number": "662-808-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE GREENVILLE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584811",
            "telephone_number": "252-375-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "SAMUEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelia Beck Dewees, CNM
• Andrae Cameron Deweese
• Jane Dewire, MD
• Alyssa Gregory Dexter, PA-C
• Elizabeth Dexter, FNP-C
• DGJ Ventures, LLC
• Prita Dhaimade, BDS, MS
• Alif Mohamed Dharamsi, M.D.
• Jhalak Dholakia, MD
• Andrea Suzanne Diacono

• General Practice Dentistry in Greenville, NC
• Providers in Greenville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.