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Active NPI 1316704208 Individual Practitioner Male Practitioner

Dr. Blake Tyler Samper , DDS

Dentist - General Practice • Lexington, SC

Professional Overview & Biography Verified Profile Summary

Dr. Blake Samper, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lexington, SC. Practice services are available at 5540 SUNSET BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5540 Sunset Blvd

Lexington, SC 290729262

Telephone 8033588250
Associated Practice Facility / Clinic
🏢 Michael Jimenez Dds Llc Facility NPI 1831741396

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lexington, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
45 Specialists

Practicing in Lexington, SC (1873 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: 2024-06-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License SC DGD.10806

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.

Secondary Practice Locations

368 Harbison Blvd Ste 201

Columbia, SC 292122248

Phone: 8032342320

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Michael Jimenez , DDS

Dentist - General Practice

NPI 1508395724

Doctor of Dental Surgery

Dr. Jacob Young , DDS

Dentist - General Practice

NPI 1972170066

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2024

Dentist (License #DGD.10806 in SC)

NPI Profile Active March 06, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2024

Registered at 5540 SUNSET BLVD, LEXINGTON, SC 290729262 (Tel: 8033588250)

📍
Updated Business Mailing Address March 06, 2024

Registered at 11815 VANCE JACKSON RD APT 2401, SAN ANTONIO, TX 782301445 (Tel: 2057467318)

👤
Provider Name / Credentials Updated March 06, 2024

Recorded as BLAKE SAMPER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 06, 2024

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: 1316704208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2024
Last Update: June 05, 2024
Sole Proprietor: No

Mailing Address

11815 Vance Jackson Rd Apt 2401

San Antonio, TX 782301445

Phone: 2057467318

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.