Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659653772 Individual Practitioner Female Practitioner

Dr. Samantha Siebeneck , DDS

Dentist • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Dr. Samantha Siebeneck, DDS is a registered healthcare professional specializing in Dentist in Columbus, OH. Practice services are available at 1180 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1180 E Main St

Columbus, OH 432051902

Telephone 6146455535
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
317 Specialists

Practicing in Columbus, OH (2953 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: 2025-08-26
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OH 30-023572

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0054364 (OH)

Practice Associates & Co-Workers

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

35 Associated Practitioners
NPI 1023234309

Doctor of Dental Surgery

Dr. Eric Fryxell , MD

Family Medicine

NPI 1033179163

Doctor of Medicine (M.D.)

David Brewer , RD, LD

Dietitian, Registered

NPI 1083004238

Registered Dietitian, Licensed Dietitian

Ellen Defrance

Social Worker - Clinical

NPI 1134667975
Nancy Perkins , CNM

Advanced Practice Midwife

NPI 1184642316

Certified Nurse Midwife

Emily Steinway

Social Worker - Clinical

NPI 1194064881

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Business Mailing Address August 26, 2025

Registered at 3433 AGLER RD STE 2800, COLUMBUS, OH 432193389 (Tel: 6148591906)

NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2017

Registered at 1180 E MAIN ST, COLUMBUS, OH 432051902 (Tel: 6146455541)

📍
Updated Business Mailing Address January 19, 2017

Registered at 1180 E MAIN ST, COLUMBUS, OH 432051902 (Tel: 6146455541)

👤
Provider Name / Credentials Updated January 19, 2017

Recorded as SAMANTHA SIEBENECK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Dentist (License #30-023572 in OH)

NPI Profile Active January 31, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2015

Registered at 1567 NORTHWEST BLVD, COLUMBUS, OH 432122544 (Tel: 5173034727)

📍
Updated Business Mailing Address January 31, 2015

Registered at 2086 E DUBLIN GRANVILLE RD, COLUMBUS, OH 432293518 (Tel: 6149010939)

👤
Provider Name / Credentials Updated January 31, 2015

Recorded as SAMANTHA SIEBENECK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2015

Dentist (License #30-023572 in OH)

🟢
Initial NPI Registration & Enumeration September 14, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659653772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2011
Last Update: August 26, 2025
Sole Proprietor: No

Mailing Address

3433 Agler Rd Ste 2800

Columbus, OH 432193389

Phone: 6148591906

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.