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General NPI Number Information
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NPI Number | 1982580635
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Entity Type | Organization
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Legal Business Name | SAMANTHA WARGEL DDS LLC
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1273 N EMERSON AVE STE A
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City | GREENWOOD
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State | IN
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Zip | 46143-6673
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Country | US
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Telephone | 317-644-1105
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Fax |
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Provider Business Mailing Address
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Address Line | 8817 S TIBBS AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46217-7706
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Country | US
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Telephone | 260-385-2754
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. SAMANTHA WARGEL
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Credential | DDS
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Telephone | 260-385-2754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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