MEDICARE: SAMANTHA PAULETTE REED DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN15142	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104042456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA PAULETTE REED DMD

Provider Business Mailing Address
First Line	:	2707 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3312
Country	:	US
Telephone Number	:	727-785-6521
Fax Number	:	727-785-6237

Provider Business Practice Location Address
First Line	:	2707 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3312
Country	:	US
Telephone Number	:	727-785-6521
Fax Number	:	727-785-6237

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	07/08/2007

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Practice Location Address:

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1649232927 — DR. FLOYD E. BENNETT DMD
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1316964026 — MRS. DIANE LITWAK PIKOS CRNA
Practice Location Address:

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1669578100 — MICHAEL A. PIKOS, D.D.S., P.A.
Practice Location Address:

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34684-3312

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Practice Location Address:

2707 TAMPA RD
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1790901023 — IVELYN SANTINI DDS
Practice Location Address:

2707 TAMPA RD
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34684-3312

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