Healthcare Provider Details

I. General information

NPI: 1285561845
Provider Name (Legal Business Name): SAMANTHA LEE SZABO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAMANTHA LEE PAFFORD

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37701 COLORADO AVE STE E
AVON OH
44011-2841
US

IV. Provider business mailing address

37701 COLORADO AVE STE E
AVON OH
44011-2841
US

V. Phone/Fax

Practice location:
  • Phone: 440-934-2600
  • Fax: 440-934-2602
Mailing address:
  • Phone: 440-934-2600
  • Fax: 440-934-2602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number51.017922
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: