Sumita Sam
Dentist - General Practice Oral and Maxillofacial Pathology
1395 Center Dr Rm D8-6
Gainesville
, Florida 32610-3006
Sumita Sam
Dentist - General Practice Oral and Maxillofacial Pathology
1395 Center Dr Rm D8-6
Gainesville
, Florida 32610-3006
(248) 605-1023
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About
Features
Specialties
- General Practice
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Sumita Sam
- 9208 Parthenon Pl
- Seffner, FL
- Zip : 33584-2659
- Phone : (248) 605-1023
Second Address
- Sumita Sam
- 1395 Center Dr Rm D8-6
- Gainesville, FL
- Zip : 32610-3006
- Phone : (352) 273-6703
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 291022390 | MI |
| N | 213EG0000X | General Practice | 291022390 | MI |
| Y | 1223P0106X | Oral and Maxillofacial Pathology | DRPM2052 | FL |
National Provider Identifier
| NPI | 1326561200 |
|---|---|
| Provider Name | Sumita Sam |
| First Address | Seffner, FL 33584-2659 |
| Second Address | Gainesville, FL 32610-3006 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2017 |
| Last Update Date | 29/09/2021 |
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.