Sammy Stefan Noumbissi
Dentist • Waldorf, MD
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sammy Noumbissi has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Sammy Noumbissi was a registered Dentist practicing in Waldorf, MD. Throughout an active medical career spanning 13 years, Sammy Noumbissi provided care at the practice location at 117 SAINT PATRICKS DR until profile deactivation on 2020-01-28.
Historical Medicare Part B clinical services included ct scan of face, x-ray of lower jaws, upper jaws and teeth, suture of (over 2.5 centimeter) mouth laceration. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
117 Saint Patricks Dr
Waldorf, MD 206034574
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Waldorf, MD
Practicing in Waldorf, MD (1975 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
70486
CT scan of face
|
46 | 35 | $807.10 | $46.44 |
|
70355
X-ray of lower jaws, upper jaws and teeth
|
45 | 34 | $620.00 | $11.69 |
|
40831
Suture of (over 2.5 centimeter) mouth laceration
|
25 | 20 | $826.12 | $229.91 |
|
21208
Incision and repair of bony defect of cheek bone with repositioning of bony segment
|
25 | 18 | $2200.00 | $1351.56 |
|
99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
|
23 | 23 | $457.90 | $255.71 |
|
21210
Repair of nasal or cheek bone with bone graft
|
21 | 18 | $4776.00 | $2133.50 |
|
36513
Mechanical separation of platelet cells from blood
|
19 | 17 | $240.92 | $62.02 |
|
21085
Impression and custom preparation of oral surgical splint
|
13 | 12 | $2000.00 | $461.65 |
Medical Specialties & State Licenses
CMS Verified: 2020-03-06NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 117 SAINT PATRICKS DR, WALDORF, MD 206034574 (Tel: 3018704553)
Registered at 14921 SADDLE CREEK DR, BURTONSVILLE, MD 208662210 (Tel: 3018704553)
Recorded as SAMMY NOUMBISSI
Dentist (License #12911 in MD)
Record deactivated on January 28, 2020
NPI status registered as active in NPPES database
Registered at 117 SAINT PATRICKS DR, WALDORF, MD 206034574 (Tel: 3018704553)
Registered at 14921 SADDLE CREEK DR, BURTONSVILLE, MD 208662210 (Tel: 3018704553)
Recorded as SAMMY NOUMBISSI
Dentist (License #12911 in MD)
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
Mailing Address
14921 Saddle Creek Dr
Burtonsville, MD 208662210
Phone: 3018704553
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