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Contact Information

TOM A SAMUEL, D. D. S
1600 PROVIDENCE DR
WACO, TX76707-2261
 Phone: 254-313-4200
 Fax: 254-313-4326
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Dental Public Health

1223D0001X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TOM A SAMUEL · (Male)

NPI Number 1568890770
Status Active
Credentials D. D. S
Entity Individual
Enumeration date 10/25/2013
Last updated 02/04/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 29201
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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