Ivan Mark Samano in Bloomfield Hills - Dentist
Ivan Mark Samano - NPI 1659468361
Ivan Mark Samano is a Dentist in Bloomfield Hills, Michigan. Ivan Mark Samano practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ivan Mark Samano is 1659468361. The last update date is 2007-07-08.
Ivan Mark Samano's current location address is 50 W Big Beaver, Bloomfield Hills, Michigan. You can contact this provider via phone number 2482902900 and fax number 2482902904. The mailing address for Ivan Mark Samano is 50 W Big Beaver, Bloomfield Hills, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan Mark Samano |
|---|---|
| Address | 50 W Big Beaver, Bloomfield Hills, Michigan |
| Phone Number | 2482902900 |
| Fax Number | 2482902904 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1659468361 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 50 W Big Beaver |
|---|---|
| City | Bloomfield Hills |
| State | Michigan (MI) |
| Post Code | 48304 |
| Phone Number | 2482902900 |
| Fax Number | 2482902904 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 18371 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1811510 | UNITED CONCORDIA | ||
| 183710 | MI | BCBS | |
| 4852555 | MI | -- |
Post Comment/ Review Below
What is the Ivan Mark Samano's 1659468361?
The Ivan Mark Samano's NPI (National Provider Identifier) Number is 1659468361. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Ivan Mark Samano is physically located?
The Ivan Mark Samano is physically situated at the following address: 50 W Big Beaver, Bloomfield Hills, MI, 48304.
What is the Ivan Mark Samano's specialty and taxonomy code?
The Ivan Mark Samano's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1659468361 to Ivan Mark Samano?
The Ivan Mark Samano received its 1659468361 assignment from the Centers for Medicare & Medicaid Services on 2006-10-06.
When was the information related to Ivan Mark Samano most recently updated or refreshed?
The details pertaining to the Ivan Mark Samano, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.