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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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice PA DS024430L