Healthcare Provider Details

I. General information

NPI: 1790474310
Provider Name (Legal Business Name): BRIANA ROSE SAMBUCHI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 06/02/2024
Certification Date: 06/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 HOSPITAL DR
SPRUCE PINE NC
28777-3035
US

IV. Provider business mailing address

6550 BELLE WAY
EAST AMHERST NY
14051-2816
US

V. Phone/Fax

Practice location:
  • Phone: 828-765-0110
  • Fax:
Mailing address:
  • Phone: 716-572-5503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number13651
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: