Provider Demographics
NPI:1891683686
Name:SAMISCH, ALLISON PAIGE (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:PAIGE
Last Name:SAMISCH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3704 KENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-4617
Mailing Address - Country:US
Mailing Address - Phone:901-651-6828
Mailing Address - Fax:
Practice Address - Street 1:266 S CLEVELAND ST STE 103
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3520
Practice Address - Country:US
Practice Address - Phone:901-725-1425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN128421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice