Dr. Samuel D. Dednam , DMD
Dentist - General Practice • Saint Louis, MO
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. Samuel Dednam has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Samuel Dednam, DMD was a registered Dentist - General Practice practicing in Saint Louis, MO. Throughout an active medical career spanning 11 years, Dr. Dednam provided care at the practice location at 3535 S JEFFERSON AVE STE 302 until profile deactivation on 2017-07-14.
Practice Location & Contact Primary Location
3535 S Jefferson Ave Ste 302
Saint Louis, MO 631183935
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Saint Louis, MO
Practicing in Saint Louis, MO (2113 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 14, 2017
NPI status registered as active in NPPES database
Registered at 3535 S JEFFERSON AVE STE 302, SAINT LOUIS, MO 631183935 (Tel: 3142686135)
Registered at 6405 VIRGINIA AVE, SAINT LOUIS, MO 631112706 (Tel: 3144812284)
Recorded as SAMUEL DEDNAM, D.M.D.
Dentist (License #012412 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6405 Virginia Ave
Saint Louis, MO 631112706
Phone: 3144812284
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