Nicolello, Samantha Anne

Nicolello, Samantha Anne is an sole proprietor health care provider with primary practice located at 4044 N Legacy Woods Ave , Meridian ID 83646-4480. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Nicolello, Samantha Anne can be contacted via phone (208) 871-0760.

Contact Information

Primary practice address
4044 N Legacy Woods Ave Meridian ID 83646-4480
Phone: (208) 871-0760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH-3204 Idaho
Other Service Providers / Specialist 174400000X DH-3204 Idaho

Profile Details

NPI number 1124736723
LBN Legal business name Nicolello, Samantha Anne
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2022
Last updated Nov 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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