Individual
DR. IVAN MARK SAMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
50 W BIG BEAVER, STE 100 A, BLOOMFIELD HILLS, MI 48304
(248) 290-2900
(248) 290-2904
Mailing address
50 W BIG BEAVER, STE 100 A, BLOOMFIELD HILLS, MI 48304
(248) 290-2900
(248) 290-2904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18371
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0183710
BCBS
MI
01
—
1811510
UNITED CONCORDIA
—
05
—
4852555
—
MI
Enumeration date
10/06/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us