Healthcare Provider Details

I. General information

NPI: 1871317636
Provider Name (Legal Business Name): SAMANTHA MARIE DART AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 FOUNDRY ST
CONCORD NH
03301-5419
US

IV. Provider business mailing address

18 OAKDALE ST
ATTLEBORO MA
02703-5109
US

V. Phone/Fax

Practice location:
  • Phone: 855-971-0451
  • Fax:
Mailing address:
  • Phone: 508-838-7550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA861
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: