Provider Demographics
NPI:1427096866
Name:NECHAMKIN, SAMUEL J (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:J
Last Name:NECHAMKIN
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 910848
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75091-0848
Mailing Address - Country:US
Mailing Address - Phone:903-868-9850
Mailing Address - Fax:903-868-9851
Practice Address - Street 1:1005 SARA SWAMY DR
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-3119
Practice Address - Country:US
Practice Address - Phone:903-868-9850
Practice Address - Fax:903-868-9851
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX179381223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics