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Deactivated NPI 1790932325 Deactivated / Inactive NPI Male Practitioner

Dr. Samson Sol Flores , DMD, DDS

Dentist - Prosthodontics • Evanston, IL

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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, Dr. Samson Flores has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2008
NPI Deactivation Date January 13, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Samson Flores, DMD, DDS was a registered Dentist - Prosthodontics practicing in Evanston, IL. Throughout an active medical career spanning 13 years, Dr. Flores provided care at the practice location at 1415 OAKTON ST until profile deactivation on 2021-01-13.

Practice Location & Contact Primary Location

Practice Address

1415 Oakton St

Evanston, IL 602022720

Telephone 8473288733

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Evanston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Evanston, IL (81 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 - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License IL 021000462

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 13, 2021

Record deactivated on January 13, 2021

NPI Profile Active August 26, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 26, 2008

Registered at 1415 OAKTON ST, EVANSTON, IL 602022720 (Tel: 8473288733)

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Updated Business Mailing Address August 26, 2008

Registered at 1415 OAKTON ST, EVANSTON, IL 602022720 (Tel: 8473288733)

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Provider Name / Credentials Updated August 26, 2008

Recorded as SAMSON FLORES, D.M.D.,D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2008

Dentist (License #021000462 in IL)

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Initial NPI Registration & Enumeration August 26, 2008

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: 1790932325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2008
Last Update: August 26, 2008
Deactivation Date: January 13, 2021

Mailing Address

1415 Oakton St

Evanston, IL 602022720

Phone: 8473288733

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.