Samuel Robert Burnham, DDS is a
Dentist based in South Lebanon, Ohio. Samuel Robert Burnham is licensed to practice in Ohio (license number 30.027115) and his current practice location is
650 Corwin Nixon Blvd, South Lebanon, Ohio. He can be reached at his office (for appointments etc.) via phone at
(513) 928-8079.
NPI number for Samuel Robert Burnham is 1639869803 and his current mailing address is 625 Brandy Way, Cincinnati, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639869803.
Healthcare Provider's Profile
| Full Name | Samuel Robert Burnham |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 650 Corwin Nixon Blvd, South Lebanon, Ohio |
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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: 1639869803
- Provider Enumeration Date: 05/11/2023
- Last Update Date: 05/11/2023
Medical Identifiers
Medical identifiers for Samuel Robert Burnham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639869803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 30.027115 (Ohio) | 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 Robert Burnham 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 Robert Burnham, DDS
625 Brandy Way,
Cincinnati, OH 45244-1200
Ph: (937) 903-1751 | Samuel Robert Burnham, DDS
650 Corwin Nixon Blvd,
South Lebanon, OH 45065-1248
Ph: (513) 928-8079 |
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