Samuelson, Allen Douglas

Samuelson, Allen Douglas is an individual health care provider with primary practice located at Cb # 7450 101 Brauer Hall , Chapel Hill NC 27599-0001. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is his primary health care specialty. Samuelson, Allen Douglas can be contacted via phone (919) 966-1221.

Contact Information

Primary practice address
Cb # 7450 101 Brauer Hall Chapel Hill NC 27599-0001
Phone: (919) 966-1221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6174 North Carolina
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6174 North Carolina

Profile Details

NPI number 1750463345
LBN Legal business name Samuelson, Allen Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 31st, 2015 - about 9 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 1750463345 NPPES
Other 91934 BCBS
MEDICAID 8997572 BCBS

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