Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689863441 Individual Practitioner Female Practitioner

Dr. Sarah Samuel , DDS

Dentist - General Practice • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Sarah Samuel, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tyler, TX. Practice services are available at 428 CENTENNIAL PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

428 Centennial Pkwy

Tyler, TX 757037166

Telephone 9032665900
Associated Practice Facility / Clinic
🏢 Dallas Vamc Facility NPI 1548929540

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
84 Specialists

Practicing in Tyler, 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

CMS Verified: 2022-08-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 20750

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

11 Associated Practitioners
Clarice Mcdaniels , MS, RD, LD

Dietitian, Registered

NPI 1013771492

Master of Science, Registered Dietitian, Licensed Dietitian

Alice Black , OPTHALMIC ASSISTANT

Technician/Technologist - Ophthalmic Assistant

NPI 1346066024

OPTHALMICASSISTANT

Hope Barham , APRN

Registered Nurse - Psychiatric/Mental Health

NPI 1356123327

Advanced Practice Registered Nurse

NPI 1447985767

Licensed Master Social Worker

Dr. Keith Wixtrom , MD

Family Medicine

NPI 1639193246

Doctor of Medicine (M.D.)

Dr. Christopher Perkins , DO

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1831195106

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 25, 2022

Registered at 428 CENTENNIAL PKWY, TYLER, TX 757037166 (Tel: 9032665900)

📍
Updated Business Mailing Address August 25, 2022

Registered at 428 CENTENNIAL PKWY, TYLER, TX 757037166

📍
Updated Practice Location October 19, 2018

Registered at 1310 24TH AVE S, NASHVILLE, TN 372122637 (Tel: 6158737120)

NPI Profile Active March 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2015

Registered at 1400 N WESTMORELAND RD, DALLAS, TX 752111656 (Tel: 2142660630)

📍
Updated Business Mailing Address March 02, 2015

Registered at 1400 N WESTMORELAND RD, DALLAS, TX 752111656

👤
Provider Name / Credentials Updated March 02, 2015

Recorded as SARAH SAMUEL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2015

Dentist (License #20750 in TX)

🟢
Initial NPI Registration & Enumeration October 17, 2007

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: 1689863441
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2007
Last Update: August 25, 2022
Sole Proprietor: No

Mailing Address

428 Centennial Pkwy

Tyler, TX 757037166

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.