Samantha Rae Didomenico, D.D.S. is a general practice dentist in Las Animas, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Samantha Rae Didomenico, D.D.S. NPI is 1891241527. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
245 VINE AVE
LAS ANIMAS, CO
ZIP 81054
Phone: (719) 456-2653
The NPI 1891241527 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 9/1/2016 and was last updated on 6/5/2018.