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DR. SAMUEL TAMAYO FERNANDEZ JR. DDS
NPI 1043043565
Dentist in Phoenix, AZ

Active since August 21, 2024
2805 W AGUA FRIA FWY STE 8A, PHOENIX, AZ 85027(623) 255-3390 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel Tamayo Fernandez Jr. Dds NPPES

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

DR. SAMUEL TAMAYO FERNANDEZ JR. DDS (NPI 1043043565) is an individual dentist in Phoenix, Arizona, licensed in Arizona (D012283) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1043043565
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAMUEL TAMAYO FERNANDEZ JR.Credential: DDS
Location Address2805 W AGUA FRIA FWY STE 8APhoenix, AZ 85027-3901
Mailing Address7900 E Princess Dr Apt 2249Scottsdale, AZ 85255-5867 · (224) 436-2570
Phone(623) 255-3390
Sole ProprietorNo
Enumeration DateAugust 21, 2024
NPPES CertifiedAugust 21, 2024
✔ NPI 1043043565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D012283
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2805 W AGUA FRIA FWY STE 8A, Phoenix, AZ 85027
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Other Names 1

Other Name (5)Dr. Sam Tamayo Fernandez Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DEER VALLEY DENTAL GROUP, LLP
Dentist
2805 W AGUA FRIA FWY STE 8A
PHOENIX, AZ 85027
Maricopa County (623) 255-3390
DR. APELDIN AGHASSI DMD
Dentist
2805 W AGUA FRIA FWY STE 8A
PHOENIX, AZ 85027
Maricopa County (623) 255-3390

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 Fernandez's NPI number?

The NPI number for Samuel Fernandez is 1043043565. It was assigned to this individual provider in the NPPES registry on August 21, 2024. The provider is also known as Dr. Sam Tamayo Fernandez Dds.

Where is Samuel Fernandez located?

Samuel Fernandez practices at 2805 W Agua Fria Fwy Ste 8A, Phoenix, AZ 85027. The listed phone number is (623) 255-3390.

What is Samuel Fernandez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Samuel Fernandez accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Samuel Fernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Fernandez was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.