Raisa Samuylova is a Newark, New Jersey based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Raisa Samuylova is 19201 for Dentistry in New Jersey. Her current practice location is 5 Manor Dr, Suite #1c, Newark. Patients can reach her at 973-372-7500.
Raisa Samuylova is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Raisa Samuylova speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Raisa Samuylova
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
5 Manor Dr, Suite #1c, Newark, New Jersey, 07106
Phone:
973-372-7500
Fax:
973-372-1843
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1245240571
NPI Enumeration Date:
09 Aug, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Raisa Samuylova are as mentioned below.
License Number
Specialization
State
Status
19201
Dentistry
New Jersey
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Raisa Samuylova such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
60021407
Other
New Jersey
HMO
6428908
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5 Manor Dr, Suite #1c Newark, New Jersey
Zip:
07106
Phone Number:
973-372-7500
Fax Number:
973-372-1843
Patients can reach Raisa Samuylova at 5 Manor Dr, Suite #1c, Newark, New Jersey or can call to book an appointment on 973-372-7500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.