Sam Reiser Caruso, DMD is a
Student In An Organized Health Care Education/training Program based in Woodstock, Georgia. Sam Reiser Caruso is licensed to practice in Florida (license number DRP2199) and his current practice location is
2230 Towne Lake Pkwy, Bldg 1000, Ste 110, Woodstock, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 672-5629.
NPI number for Sam Reiser Caruso is 1922627256 and his current mailing address is 85 Golf Crest Dr Ste 209, Acworth, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922627256.
Healthcare Provider's Profile
| Full Name | Sam Reiser Caruso |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2230 Towne Lake Pkwy, Woodstock, Georgia |
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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: 1922627256
- Provider Enumeration Date: 04/16/2020
- Last Update Date: 07/01/2024
Medical Identifiers
Medical identifiers for Sam Reiser Caruso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922627256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN123254 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | DRP2199 (Florida) | 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. Sam Reiser Caruso 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 |
|---|
Sam Reiser Caruso, DMD
85 Golf Crest Dr Ste 209,
Acworth, GA 30101-2698
Ph: (770) 672-5629 | Sam Reiser Caruso, DMD
2230 Towne Lake Pkwy, Bldg 1000, Ste 110,
Woodstock, GA 30189
Ph: (770) 672-5629 |
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