Provider Demographics
NPI:1710049606
Name:PAPANDREAS, SAMUEL G (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:G
Last Name:PAPANDREAS
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Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:14200 RIDGE ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133
Mailing Address - Country:US
Mailing Address - Phone:440-582-8585
Mailing Address - Fax:440-582-8311
Practice Address - Street 1:14200 RIDGE ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44131
Practice Address - Country:US
Practice Address - Phone:440-582-8585
Practice Address - Fax:440-582-8311
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH190411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics