Provider Demographics
NPI:1669521043
Name:NAPIER, MARY SAMANTHA (DMD)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:SAMANTHA
Last Name:NAPIER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MRS
Other - First Name:SAMANTHA
Other - Middle Name:SHEPHERD
Other - Last Name:NAPIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1873
Mailing Address - Street 2:
Mailing Address - City:HYDEN
Mailing Address - State:KY
Mailing Address - Zip Code:41749
Mailing Address - Country:US
Mailing Address - Phone:606-672-7697
Mailing Address - Fax:
Practice Address - Street 1:116 VETERANS DRIVE
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701
Practice Address - Country:US
Practice Address - Phone:606-439-0577
Practice Address - Fax:606-436-8248
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY67701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY60067709Medicaid