Mr Samuel Edward Mitchell, DDS is a
Dentist based in Fort Hall, Idaho. Mr Samuel Edward Mitchell is licensed to practice in New York (license number 052435) and his current practice location is
Mission Road, Fort Hall, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 238-5446.
NPI number for Mr Samuel Edward Mitchell is 1518045772 and his current mailing address is 1222 Freeman Lane, Apt 67, Pocatello, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518045772.
Healthcare Provider's Profile
| Full Name | Mr Samuel Edward Mitchell |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | Mission Road, Fort Hall, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518045772
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Samuel Edward Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518045772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 052435 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Samuel Edward Mitchell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Samuel Edward Mitchell, DDS
1222 Freeman Lane, Apt 67,
Pocatello, ID 83201
Ph: (208) 478-6650 | Mr Samuel Edward Mitchell, DDS
Mission Road,
Fort Hall, ID 83203
Ph: (208) 238-5446 |
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