Provider Demographics
NPI:1073883385
Name:SAMANTHA S NAPIER DMD LLC
Entity Type:Organization
Organization Name:SAMANTHA S NAPIER DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-439-0577
Mailing Address - Street 1:116 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-9483
Mailing Address - Country:US
Mailing Address - Phone:606-439-0577
Mailing Address - Fax:606-436-8248
Practice Address - Street 1:116 VETERANS DR
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-9483
Practice Address - Country:US
Practice Address - Phone:606-439-0577
Practice Address - Fax:606-436-8248
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAMANTHA S NAPIER DMD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY67701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY60067709Medicaid