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NPI Code Detail

MEDICARE: JEANINE MARIE SAMPERI D.M.D.

MEDICARE:   JEANINE MARIE SAMPERI  D.M.D.
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
11223G0001XGeneral Practice Dentistry0025573TX

Other Identifiers

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

General Provider Information

NPI Number : 1538472709
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANINE MARIE SAMPERI D.M.D.
Provider Business Mailing Address
First Line : 385 CALLE DE ALEGRA, BLDG. A
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3417
Country : US
Telephone Number : 575-526-1105
Fax Number :
Provider Business Practice Location Address
First Line : 855 ANTHONY DR
Second Line :
City : ANTHONY
State : NM
Zip : 88021-9325
Country : US
Telephone Number : 575-882-3607
Fax Number : 575-882-2909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2010
Last Update Date : 02/26/2016

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Directions to “ JEANINE MARIE SAMPERI D.M.D.” Practice Location

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