Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457096562 Individual Practitioner Male Practitioner

Samuel Lee

Dentist - General Practice • Crofton, MD

Professional Overview & Biography Verified Profile Summary

Samuel Lee is a registered healthcare professional specializing in Dentist - General Practice in Crofton, MD. Practice services are available at 2191 DEFENSE HWY STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2191 Defense Hwy Ste 210

Crofton, MD 211142942

Telephone 4107212610
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Crofton, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Crofton, MD (2555 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: 2024-01-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 17853

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

6 Associated Practitioners
NPI 1154814960
NPI 1225711211

Doctor of Dental Surgery

NPI 1245395250

Doctor of Dental Surgery

NPI 1639234636

Doctor of Dental Surgery

NPI 1740345743

Doctor of Dental Surgery

Dr. Babak Dastani , DDS

Dentist - General Practice

NPI 1932549904

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 16, 2024

Registered at 2191 DEFENSE HWY STE 210, CROFTON, MD 211142942 (Tel: 4107212610)

📍
Updated Business Mailing Address January 16, 2024

Registered at 2191 DEFENSE HWY STE 210, CROFTON, MD 211142942

📍
Updated Practice Location July 12, 2023

Registered at 4 E ROLLING XRDS STE 205, CATONSVILLE, MD 212286281 (Tel: 4107197900)

📍
Updated Business Mailing Address July 12, 2023

Registered at 4 E ROLLING XRDS STE 205, CATONSVILLE, MD 212286281

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2023

Dentist (License #17853 in MD)

NPI Profile Active May 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2022

Registered at 1001 S GEORGE ST, YORK, PA 174033676 (Tel: 7178512655)

📍
Updated Business Mailing Address May 03, 2022

Registered at 1001 S GEORGE ST, YORK, PA 174033676

👤
Provider Name / Credentials Updated May 03, 2022

Recorded as SAMUEL LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 03, 2022

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: 1457096562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2022
Last Update: January 16, 2024
Sole Proprietor: No

Mailing Address

2191 Defense Hwy Ste 210

Crofton, MD 211142942

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.