Samuel Davidson, DDS is a
Dentist - General Practice based in Greybull, Wyoming. Samuel Davidson is licensed to practice in Wyoming (license number 1587) and his current practice location is
337 Greybull Ave, Greybull, Wyoming. He can be reached at his office (for appointments etc.) via phone at
(307) 765-4654.
NPI number for Samuel Davidson is 1861060444 and his current mailing address is 337 Greybull Ave, Greybull, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861060444.
Healthcare Provider's Profile
| Full Name | Samuel Davidson |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 337 Greybull Ave, Greybull, Wyoming |
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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: 1861060444
- Provider Enumeration Date: 06/11/2021
- Last Update Date: 09/01/2023
Medical Identifiers
Medical identifiers for Samuel Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861060444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 1587 (Wyoming) | 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. Samuel Davidson 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 |
|---|
Samuel Davidson, DDS
337 Greybull Ave,
Greybull, WY 82426-2049
Ph: (307) 765-4654 | Samuel Davidson, DDS
337 Greybull Ave,
Greybull, WY 82426-2049
Ph: (307) 765-4654 |
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