| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOSH SAMUEL | 1992322044 | 2020-07-05 |
Josh Samuel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992322044. Registration indicates Josh Samuel is a provider of access to dental specialists services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: Pediatric Dentistry, ) (Dental, ) (Dentist Pediatric Dentistry, Dental Providers) (Dentist, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Josh Samuel DMD |
| Practice Office Address | 2301 E ALLEGHENY AVE PHILADELPHIA, PA US |
| Practice Office Telephone | 2157433700 |
| Mailing Address | 608 N BODINE ST PHILADELPHIA, PA 191232946 US |
| Business Telephone | 9548755447 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 1223P0221X PRIMARY | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Pediatric Dentistry Dental Dentist Pediatric Dentistry Dental Providers Dentist | DS042746
PA |