Organization
SAMARKOS, D.M.D., P.A.
Active
Other names
Dunnellon Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A SAMARKOS (OWNER)
(352) 489-3922
Entity
Organization
Contact information
Practice address
11223 N WILLIAMS ST, DUNNELLON, FL 34432-8350
(352) 489-3922
Mailing address
11223 N WILLIAMS ST, DUNNELLON, FL 34432-8350
(352) 489-3922
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN12788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154630341
NPI 1
FL
01
—
1467781112
NPI 1
FL
01
—
1669682266
NPI 1
FL
01
—
187170330
NPI 1
FL
01
—
2802037313
NPI 1
FL
Enumeration date
09/13/2011
Last updated
09/13/2011
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