Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801565718 Individual Practitioner Male Practitioner

Benjamin Samardak

Dentist • Lawrenceville, GA

Professional Overview & Biography Verified Profile Summary

Benjamin Samardak is a registered healthcare professional specializing in Dentist in Lawrenceville, GA. Practice services are available at 3455 LAWRENCEVILLE HWY # 30044 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3455 Lawrenceville Hwy # 30044

Lawrenceville, GA 300444101

Telephone 7709211115
Associated Practice Facility / Clinic
🏢 Gwinnett Family Dental Care Facility NPI 1316112360

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lawrenceville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
33 Specialists

Practicing in Lawrenceville, GA (2164 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

CMS Verified: 2023-01-24
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN122605

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

11 Associated Practitioners
NPI 1053315952

Doctor of Dental Medicine

Dr. Joseph Baughman , DDS

Dentist - General Practice

NPI 1093981664

Doctor of Dental Surgery

NPI 1194373621

Doctor of Dental Medicine

Dr. Lucius Presley , DMD

Dentist - General Practice

NPI 1225150113

Doctor of Dental Medicine

Dr. Jared Kent , DMD

Dentist - General Practice

NPI 1245789262

Doctor of Dental Medicine

Dr. Linh Le , DDS

Dentist - General Practice

NPI 1477253573

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2023

Dentist (License #DN122605 in GA)

📍
Updated Practice Location October 11, 2022

Registered at 3455 LAWRENCEVILLE HWY # 30044, LAWRENCEVILLE, GA 300444101 (Tel: 7709211115)

📍
Updated Business Mailing Address October 11, 2022

Registered at 1660 PEACHTREE ST NW, ATLANTA, GA 303092470 (Tel: 5856890786)

NPI Profile Active September 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2021

Registered at 1714 BURRSTONE RD, NEW HARTFORD, NY 134131002 (Tel: 3156246227)

📍
Updated Business Mailing Address September 13, 2021

Registered at 1714 BURRSTONE RD, NEW HARTFORD, NY 134131002 (Tel: 3156246227)

👤
Provider Name / Credentials Updated September 13, 2021

Recorded as BENJAMIN SAMARDAK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 13, 2021

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: 1801565718
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2021
Last Update: January 24, 2023
Sole Proprietor: Yes

Mailing Address

1660 Peachtree St Nw

Atlanta, GA 303092470

Phone: 5856890786

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.