SAMANTHA LUISE SACKOS DDS NPI 1043770373

NPI Information

Samantha Luise Sackos, DDS is a general practice dentist in Birmingham, AL. 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 Luise Sackos, DDS NPI is 1043770373. 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:

2901 CENTRAL AVE
BIRMINGHAM, AL
ZIP 35209-505
Phone: (205) 870-1363

The NPI 1043770373 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 3/22/2019 and was last updated on 12/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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