SAMANTHA RENEE ZACIEWSKI DDS NPI 1215082342

NPI Information

  • NPI: 1215082342
  • Provider Name: SAMANTHA RENEE ZACIEWSKI, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 27 ST LAWRENCE DR
    SUITE 109
    TIFFIN, OH
    ZIP 44883
  • Phone: (419) 447-7337

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NPI Details

Samantha Renee Zaciewski, DDS is a general practice dentist in Tiffin, OH. 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 Renee Zaciewski, DDS NPI is 1215082342. 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:

27 ST LAWRENCE DR
SUITE 109
TIFFIN, OH
ZIP 44883-312
Phone: (419) 447-7337

The NPI 1215082342 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 1/25/2007 and was last updated on 7/6/2015.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice30-022212OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104968OTHEROHIOPARAMOUNT
22624815MEDICAIDOHIO
39182269OTHEROHIODORAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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