Sackos, Samantha Luise
Sackos, Samantha Luise is an individual health care provider with primary practice located at 2258 W Roosevelt Blvd Ste A , Monroe NC 28110-3090. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Sackos, Samantha Luise can be contacted via phone (704) 291-7100.Contact Information
Primary practice address
2258 W Roosevelt Blvd Ste A
Monroe NC 28110-3090
Phone: (704) 291-7100
Fax: (704) 291-7115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD5263 | New Mexico |
| Dental Providers / General Practice | 1223G0001X | 0006687 | Alabama |
| Dental Providers / General Practice | 1223G0001X | 60195 | North Carolina |
Profile Details
| NPI number | 1043770373 |
|---|---|
| LBN Legal business name | Sackos, Samantha Luise |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2019 |
| Last updated | Nov 19th, 2023 - about 3 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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