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DR. SAMUEL ERNEST BLEAKLEY D.D.S.
NPI 1023034204
Dentist - General Practice in Modesto, CA

Active since July 14, 2006
1601 MCHENRY VILLAGE WAY STE 1, MODESTO, CA 95350(209) 577-1313(209) 577-8584 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuel Ernest Bleakley D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL ERNEST BLEAKLEY D.D.S. (NPI 1023034204) is an individual general practice provider in Modesto, California, licensed in California (19413) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1023034204
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMUEL ERNEST BLEAKLEYCredential: D.D.S.
Location Address1601 MCHENRY VILLAGE WAY STE 1Modesto, CA 95350-4338
Mailing Address1601 Mchenry Village Way Ste 1Modesto, CA 95350-4338 · (209) 577-1313 · Fax (209) 577-8584
Phone(209) 577-1313
Fax(209) 577-8584
Sole ProprietorYes
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023034204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 19413
Definition
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.
1601 MCHENRY VILLAGE WAY STE 1, Modesto, CA 95350
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIMMIE K PANDHER DMD INC
Clinic/Center (Dental)
1601 MCHENRY VILLAGE WAY STE 1
MODESTO, CA 95350
Stanislaus County (209) 765-6929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Bleakley's NPI number?

The NPI number for Samuel Bleakley is 1023034204. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Samuel Bleakley located?

Samuel Bleakley practices at 1601 Mchenry Village Way Ste 1, Modesto, CA 95350. The listed phone number is (209) 577-1313.

What is Samuel Bleakley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Samuel Bleakley was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.