Healthcare Provider Details

I. General information

NPI: 1235992348
Provider Name (Legal Business Name): SAMANTHA LYNN PIPKIN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3746 FALLON RD
DUBLIN CA
94568-7400
US

IV. Provider business mailing address

633 ELM ST APT 111
SAN CARLOS CA
94070-8423
US

V. Phone/Fax

Practice location:
  • Phone: 925-803-0100
  • Fax:
Mailing address:
  • Phone: 714-398-5468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS112955
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: