Raisa Samuylova is a Dentist in Newark, New Jersey. Raisa Samuylova practices all healthcare services and medical treatments related to Dentist. The NPI Number for Raisa Samuylova is 1245240571. The last update date is 2007-07-08.
Raisa Samuylova's current location address is 5 Manor Dr, Newark, New Jersey. You can contact this provider via phone number 9733727500 and fax number 9733721843. The mailing address for Raisa Samuylova is 5 Manor Dr, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raisa Samuylova |
|---|---|
| Address | 5 Manor Dr, Newark, New Jersey |
| Phone Number | 9733727500 |
| Fax Number | 9733721843 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1245240571 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5 Manor Dr |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 7106 |
| Phone Number | 9733727500 |
| Fax Number | 9733721843 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19201 |
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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 |
|---|---|---|---|
| 60021407 | NJ | HMO | |
| 6428908 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Raisa Samuylova by the Centers for Medicare & Medicaid Services?
The Raisa Samuylova has been issued the NPI (National Provider Identifier) 1245240571, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Raisa Samuylova?
The Raisa Samuylova is physically situated at 5 Manor Dr, in the city of Newark, state of NJ, with the postal code 7106.
What is Raisa Samuylova's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Raisa Samuylova is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When did Raisa Samuylova receive its 1245240571 assignment?
The Raisa Samuylova was assigned its 1245240571 on 2006-08-09, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Raisa Samuylova most recently updated or revised?
The details related to Raisa Samuylova, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT