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Active NPI 1114215902 Individual Practitioner Male Practitioner

Dr. Samuel Raul Rivera , DDS

Dentist - General Practice • Conroe, TX

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Rivera, DDS is a registered healthcare professional specializing in Dentist - General Practice in Conroe, TX. Practice services are available at 3915 W DAVIS ST STE 160 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3915 W Davis St Ste 160

Conroe, TX 773041879

Telephone 9367602800
Associated Practice Facility / Clinic
🏢 Lake Conroe Dentistry, Pc Facility NPI 1457790982

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Conroe, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
71 Specialists

Practicing in Conroe, TX (10570 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 TX 31685

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 60493

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

1 Associated Practitioners
Dr. Luis Cabrera Cruz , DMD

Dentist - General Practice

NPI 1821729906

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 12, 2018

Registered at 3915 W DAVIS ST STE 160, CONROE, TX 773041879 (Tel: 9367602800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2018

Dentist (License #31685 in TX)

NPI Profile Active July 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2011

Registered at 6350 W RAMSEY ST, SUITE A, BANNING, CA 922203062 (Tel: 9517690466)

📍
Updated Business Mailing Address July 14, 2011

Registered at 33978 PINEHURST DR, YUCAIPA, CA 923996934 (Tel: 7146503589)

👤
Provider Name / Credentials Updated July 14, 2011

Recorded as SAMUEL RIVERA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2011

Dentist (License #60493 in CA)

🟢
Initial NPI Registration & Enumeration July 14, 2011

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: 1114215902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2011
Last Update: October 12, 2018
Sole Proprietor: Yes

Mailing Address

33978 Pinehurst Dr

Yucaipa, CA 923996934

Phone: 7146503589

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.