Dr Samuel R Smith, DDS in Gallup, NM - Dentist

Dr Samuel R Smith, DDS is a Dentist based in Gallup, New Mexico. Dr Samuel R Smith is licensed to practice in New Mexico (license number DD5451) and his current practice location is 1601 S Second St, Gallup, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 722-4422.

NPI number for Dr Samuel R Smith is 1548843980 and his current mailing address is 1702 Placida Dr, Gallup, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548843980.

Contact Information

	Dr Samuel R Smith, DDS
	1601 S Second St, Gallup, NM 87301-5816
	(505) 722-4422
	(206) 050-5722

Healthcare Provider's Profile

Full Name	Dr Samuel R Smith
Gender	Male
Speciality	Dentist
Location	1601 S Second St, Gallup, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1548843980
Provider Enumeration Date: 05/03/2021
Last Update Date: 06/18/2021

Medical Identifiers

Medical identifiers for Dr Samuel R Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548843980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DD5451 (New Mexico)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel R Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Samuel R Smith, DDS 1702 Placida Dr, Gallup, NM 87301-5750 Ph: (801) 633-0768	Dr Samuel R Smith, DDS 1601 S Second St, Gallup, NM 87301-5816 Ph: (505) 722-4422

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Dentist in Gallup, NM

Timothy L. Ambrose, DDS Dentist Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1565
Jovito G Sabal, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1565
Dr. Gary Bruce Woodcock, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1560 Fax: 505-722-1563
Dr. Erin Maille Montano, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 802 Us Highway 491, Gallup, NM 87301 Phone: 505-862-5018
Dr. Dain Charles Hubley, DMD Dentist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Bo Tran, DDS Dentist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Dr. Eduardo J Valda, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 W Green St, Gallup, NM 87301 Phone: 505-870-6128

Dr Samuel R Smith, DDS - Dentist in Gallup, NM