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Provider Information for 1336210632



DR. FREDERICK D. SAMS D.M.D.

Gender: MALE

Individual NPI: 1336210632

Calendar Last Updated: 2013-02-26

Details

Name Value
NPI 1336210632
Enumeration Date 2006-11-10
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 5732 ELLSWORTH AVE
PITTSBURGH, PA 15232-1741
United States

Phone: 412-363-1821 | Fax: 412-363-1824
View Map External Link
Primary Practice Address 5732 ELLSWORTH AVE
PITTSBURGH, PA 15232-1741
United States

Phone: 412-363-1821 | Fax: 412-363-1824
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice PA DS024430L
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location