Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093160608 Individual Practitioner Male Practitioner

Dr. Sam Hyun-Ju Na , DDS

Dentist - General Practice • Newburgh, NY

Professional Overview & Biography Verified Profile Summary

Dr. Sam Na, DDS is a registered healthcare professional specializing in Dentist - General Practice in Newburgh, NY. Practice services are available at 5 HDSN VLY PROF PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5 Hdsn Vly Prof Plz

Newburgh, NY 12550

Telephone 8455625570
Associated Practice Facility / Clinic
🏢 Smile Dentist P.c. Facility NPI 1851868194

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Newburgh, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Newburgh, NY (8411 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 NY 059470

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

9438 59th Ave

Elmhurst, NY 113735151

Phone: 7186991100

3127 35th St Apt 3f

Astoria, NY 11106

Phone: 3475521023

567 W 191st St Apt 34

New York, NY 100403509

Phone: 3475521023

3127 35th St Apt 3f

Astoria, NY 11106

Phone: 3475521023

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Rutu Shah

Dentist - Pediatric Dentistry

NPI 1295377059
Dr. May Siu , DDS

Dentist - Pediatric Dentistry

NPI 1780204313

Doctor of Dental Surgery

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location December 14, 2018

Registered at 5 HDSN VLY PROF PLZ, NEWBURGH, NY 12550 (Tel: 8455625570)

📍
Updated Business Mailing Address December 14, 2018

Registered at 303 COLUMBINE LN, NEW WINDSOR, NY 125535467 (Tel: 3475521023)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active January 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2018

Registered at 3127 35TH ST APT 3F, ASTORIA, NY 111061523 (Tel: 3475521023)

📍
Updated Business Mailing Address January 25, 2018

Registered at 3127 35TH ST APT 3F, ASTORIA, NY 111061523 (Tel: 3475521023)

👤
Provider Name / Credentials Updated January 25, 2018

Recorded as SAM NA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2018

Dentist (License #059470 in NY)

NPI Profile Active May 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2016

Registered at 567 W 191ST ST APT 34, NEW YORK, NY 100403509 (Tel: 3475521023)

📍
Updated Business Mailing Address May 02, 2016

Registered at 567 W 191ST ST APT 34, NEW YORK, NY 100403509 (Tel: 3475521023)

👤
Provider Name / Credentials Updated May 02, 2016

Recorded as SAM NA

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

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 02, 2016

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: 1093160608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2016
Last Update: December 14, 2018
Sole Proprietor: No

Mailing Address

303 Columbine Ln

New Windsor, NY 125535467

Phone: 3475521023

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.