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Active NPI 1023034204 Individual Practitioner Male Practitioner

Dr. Samuel Ernest Bleakley , DDS

Dentist - General Practice • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Bleakley, DDS is a registered healthcare professional specializing in Dentist - General Practice in Modesto, CA. Practice services are available at 1601 MCHENRY VILLAGE WAY STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1601 Mchenry Village Way Ste 1

Modesto, CA 953504338

Telephone 2095771313
Fax 2095778584
Associated Practice Facility / Clinic
🏢 Rimmie K Pandher Dmd Inc Facility NPI 1649033804

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
133 Specialists

Practicing in Modesto, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 19413

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Raminder Pandher , DMD

Dentist - General Practice

NPI 1912047259

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1601 MCHENRY VILLAGE WAY STE 1, MODESTO, CA 953504338 (Tel: 2095771313)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1601 MCHENRY VILLAGE WAY STE 1, MODESTO, CA 953504338 (Tel: 2095771313)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SAMUEL BLEAKLEY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19413 in CA)

🟢
Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023034204
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1601 Mchenry Village Way Ste 1

Modesto, CA 953504338

Phone: 2095771313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.