Raji Mathew Samuel in Beaverton - Dentist
Raji Mathew Samuel - NPI 1336264357
Raji Mathew Samuel is a Dentist in Beaverton, Oregon. Raji Mathew Samuel practices all healthcare services and medical treatments related to Dentist. The NPI Number for Raji Mathew Samuel is 1336264357. The last update date is 2021-09-15.
Raji Mathew Samuel's current location address is 19553 Sw Boulder Ln, Beaverton, Oregon. You can contact this provider via phone number 5038600809. The mailing address for Raji Mathew Samuel is 19553 Sw Boulder Ln, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raji Mathew Samuel |
|---|---|
| Address | 19553 Sw Boulder Ln, Beaverton, Oregon |
| Phone Number | 5038600809 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1336264357 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2021-09-15 |
Provider Mailing Address Detail
| Address | 19553 Sw Boulder Ln |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970078903 |
| Phone Number | 5038600809 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D8431 |
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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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What is the unique 10-digit identifier code assigned to Raji Mathew Samuel by the Centers for Medicare & Medicaid Services?
The Raji Mathew Samuel has been issued the NPI (National Provider Identifier) 1336264357 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Raji Mathew Samuel is physically located?
The Raji Mathew Samuel is situated at the following address: 19553 Sw Boulder Ln, Beaverton, OR 970078903.
What is the area of specialization for Raji Mathew Samuel, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Raji Mathew Samuel is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336264357 to Raji Mathew Samuel?
The Centers for Medicare & Medicaid Services assigned the 1336264357 to Raji Mathew Samuel on 2007-03-20.
As of what date was the information regarding Raji Mathew Samuel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Raji Mathew Samuel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-09-15.