Provider Demographics
NPI:1194572149
Name:SAM TOVER DMD PLLC
Entity type:Organization
Organization Name:SAM TOVER DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:HUNTER
Authorized Official - Last Name:TOVER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-251-8331
Mailing Address - Street 1:6122 N STATE ROAD 7 APT 202
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3616
Mailing Address - Country:US
Mailing Address - Phone:561-251-8331
Mailing Address - Fax:
Practice Address - Street 1:8776 LANTANA RD
Practice Address - Street 2:STE 104
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467
Practice Address - Country:US
Practice Address - Phone:561-251-8331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty