Dr. Sam Wakim
Dental Public Health Dentist - General Practice
17 S Warren St
Dover
, New Jersey 07801-4506
Dr. Sam Wakim
Dental Public Health Dentist - General Practice
17 S Warren St
Dover
, New Jersey 07801-4506
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Sam Wakim
- 331 W Main St
- Denville, NJ
- Zip : 07834-1214
- Phone :
Second Address
- Dr. Sam Wakim
- 17 S Warren St
- Dover, NJ
- Zip : 07801-4506
- Phone : (973) 328-9100
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0001X | Dental Public Health | DI 21632 | NJ |
| Y | 1223G0001X | General Practice | DI 21632 | NJ |
| Y | 213EG0000X | General Practice | DI 21632 | NJ |
National Provider Identifier
| NPI | 1053588798 |
|---|---|
| Provider Name | Dr. Sam Wakim |
| First Address | Denville, NJ 07834-1214 |
| Second Address | Dover, NJ 07801-4506 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2008 |
| Last Update Date | 27/02/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.