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Active NPI 1437164860 Individual Practitioner Male Practitioner

Dr. Samuel Joseph Lavalley , DDS

Dentist - General Practice • Menominee, MI

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Lavalley, DDS is a registered healthcare professional specializing in Dentist - General Practice in Menominee, MI. Practice services are available at 1520 10TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1520 10th St

Menominee, MI 498582954

Telephone 9068638522

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Menominee, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Menominee, MI (4360 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 MI 2901012364

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33427000 (WI)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1520 10TH ST, MENOMINEE, MI 498582954 (Tel: 9068638522)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1520 10TH ST, MENOMINEE, MI 498582954 (Tel: 9068638522)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as SAMUEL LAVALLEY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #2901012364 in MI)

🟢
Initial NPI Registration & Enumeration July 31, 2006

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: 1437164860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

1520 10th St

Menominee, MI 498582954

Phone: 9068638522

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.