Peppy, Samuel

Peppy, Samuel is an individual health care provider with primary practice located at 1237 N Main St , Jamestown NY 14701-2158. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peppy, Samuel can be contacted via phone (716) 664-2335.

Contact Information

Primary practice address
1237 N Main St Jamestown NY 14701-2158
Phone: (716) 664-2335
Fax: (716) 664-2677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 045935 New York

Profile Details

NPI number 1194716266
LBN Legal business name Peppy, Samuel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194716266 NPPES
New York MEDICAID 01778963

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