Individual provider · Type 1 NPI

Jasmyne Samuels, DDS

Student in an Organized Health Care Education/Training Program · Tempe, AZ

NPI number 1184209967 Active

Practice location

6200 S Mcclintock Dr Ste 111
Tempe, AZ 85283-3449

Mailing address

1901 N Grant St Apt 719
Denver, CO 80203-1573

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184209967

Jasmyne Samuels, DDS's National Provider Identifier is 1184209967, issued on Mar 13, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tempe, AZ. The record was last updated on Mar 13, 2021.