Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275829681 Individual Practitioner Male Practitioner

Dr. Samuel Li , DDS

Dentist - General Practice • South Windsor, CT

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Li, DDS is a registered healthcare professional specializing in Dentist - General Practice in South Windsor, CT. Practice services are available at 469 BUCKLAND RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

469 Buckland Rd

South Windsor, CT 06074

Telephone 8606442136
Associated Practice Facility / Clinic
🏢 Lawrence J Andrus Dds Facility NPI 1477726552

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in South Windsor, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
15 Specialists

Practicing in South Windsor, CT (1821 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 CT 010813

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.

Secondary Practice Locations

733 Terryville Ave

Bristol, CT 060104034

Phone: 8605840441

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Todd Rubin , DMD

Dentist - General Practice

NPI 1003934233

Doctor of Dental Medicine

Dr. Shaun Thomas , DMD

Dentist - General Practice

NPI 1023753795

Doctor of Dental Medicine

Dr. Satoko Rubin , DMD, MDSC

Dentist - Prosthodontics

NPI 1083736219

Doctor of Dental Medicine, MDSC

Dr. Mark Rubin , DMD

Dentist - General Practice

NPI 1427175256

Doctor of Dental Medicine

Dr. Nicole Skalina , DMD

Dentist - General Practice

NPI 1790059095

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 12, 2018

Registered at 469 BUCKLAND RD, SOUTH WINDSOR, CT 06074 (Tel: 8606442136)

📍
Updated Business Mailing Address July 12, 2018

Registered at 162 BEELZEBUB RD, SOUTH WINDSOR, CT 060742279 (Tel: 9177230403)

NPI Profile Active August 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2014

Registered at 733 TERRYVILLE AVE, BRISTOL, CT 060104034 (Tel: 8605840441)

📍
Updated Business Mailing Address August 25, 2014

Registered at 33 GRANDVIEW DR, APT D, FARMINGTON, CT 060321318

👤
Provider Name / Credentials Updated August 25, 2014

Recorded as SAMUEL LI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2014

Dentist (License #010813 in CT)

🟢
Initial NPI Registration & Enumeration June 23, 2011

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: 1275829681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2011
Last Update: July 12, 2018
Sole Proprietor: No

Mailing Address

162 Beelzebub Rd

South Windsor, CT 060742279

Phone: 9177230403

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.