Samantha Haupage
Dentist in Groton, CT. Individual provider (NPI-1).
NPI number1275909756
StatusActive
Last updated in NPPESApr 7, 2020
Details
- NPI
- 1275909756
- Entity type
- Individual (NPI-1)
- Name
- Samantha Haupage
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2015
- Certification date
- Apr 7, 2020
- Last updated
- Apr 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DEN4451 | ME | Yes |
Practice location
1 Wahoo AveGroton, CT 06349-2324
Phone 860-694-3738
Mailing address
674 Boulevard De FranceBeaufort, SC 29902
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All 19 Dentist providers in Groton · All 917 providers in Groton
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