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General NPI Number Information
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NPI Number | 1891613154
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Entity Type | Individual
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Provider Name | SAMANTHA BELENSON DDS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 4957 SWINYAR DR STE 107
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City | COLLEGE DALE
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State | TN
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Zip | 37363-2205
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Country | US
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Telephone | 423-396-3154
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Fax |
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Provider Business Mailing Address
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Address Line | 49 FIRECREEK DR
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City | RINGGOLD
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State | GA
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Zip | 30736-6687
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Country | US
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Telephone | 925-918-0230
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13210
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License Number State | TN
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