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Deactivated NPI 1235260217 Deactivated / Inactive NPI Male Practitioner

Dr. Raymond Oneil Samuels , DMD

Dentist - General Practice • Mattapan, MA

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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. Raymond Samuels has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 08, 2007
NPI Deactivation Date April 17, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Raymond Samuels, DMD was a registered Dentist - General Practice practicing in Mattapan, MA. Throughout an active medical career spanning 17 years, Dr. Samuels provided care at the practice location at 1575 BLUE HILL AVE until profile deactivation on 2024-04-17.

Practice Location & Contact Primary Location

Practice Address

1575 Blue Hill Ave

Mattapan, MA 021262122

Telephone 6172960061
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mattapan, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Mattapan, MA (3722 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 MA 18064

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

24 Associated Practitioners
Lisa Thomas , RN

Registered Nurse

NPI 1043360845

Registered Nurse

NPI 1073873006

Doctor of Medicine (M.D.)

Zhen Ruan

Dental Hygienist

NPI 1114424652
Danielle Collins , RDH

Dental Hygienist

NPI 1124385661

Registered Dental Hygienist

Priyanka Shukla , BDS, MS

Dentist - Dental Public Health

NPI 1134301385

BDS, Master of Science

NPI 1174702765

DENTALHYGIENISTRDH

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 April 17, 2024

Record deactivated on April 17, 2024

NPI Profile Active May 02, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 02, 2016

Registered at 1575 BLUE HILL AVE, MATTAPAN, MA 021262122 (Tel: 6172960061)

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Updated Business Mailing Address May 02, 2016

Registered at 1575 BLUE HILL AVE, MATTAPAN, MA 021262122 (Tel: 6172960061)

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Provider Name / Credentials Updated May 02, 2016

Recorded as RAYMOND SAMUELS, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2016

Dentist (License #18064 in MA)

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Initial NPI Registration & Enumeration March 08, 2007

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: 1235260217
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2007
Last Update: May 02, 2016
Deactivation Date: April 17, 2024

Mailing Address

1575 Blue Hill Ave

Mattapan, MA 021262122

Phone: 6172960061

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.