Provider Demographics
NPI:1982866307
Name:SAMMARTINO, NANCY KATHRYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:KATHRYN
Last Name:SAMMARTINO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:PA
Mailing Address - Zip Code:17976-1781
Mailing Address - Country:US
Mailing Address - Phone:570-462-1971
Mailing Address - Fax:
Practice Address - Street 1:25 E CENTER ST
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:PA
Practice Address - Zip Code:17976-1781
Practice Address - Country:US
Practice Address - Phone:570-462-1971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0022379L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist