Provider Demographics
NPI:1831200518
Name:HAROLD J SAMAY DDS
Entity type:Organization
Organization Name:HAROLD J SAMAY DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SAMAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-335-9887
Mailing Address - Street 1:2411LEECHBURG RD
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-4619
Mailing Address - Country:US
Mailing Address - Phone:724-335-9887
Mailing Address - Fax:724-335-9888
Practice Address - Street 1:2411LEECHBURG RD
Practice Address - Street 2:
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-4619
Practice Address - Country:US
Practice Address - Phone:724-335-9887
Practice Address - Fax:724-335-9888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS016530L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASA049419OtherBLUE SHIELD
T27599Medicare UPIN
PASA049419Medicare ID - Type Unspecified