SAMANTHA DUTRA
NPI 1104274018
Technician, Other in Birch Run, MI

Q: What is Samantha Dutra's NPI number?

The NPI number for Samantha Dutra is 1104274018. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Q: What is Samantha Dutra's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Dutra was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since June 01, 2016

11908 SILVER CREEK DR APT 11, BIRCH RUN, MI 48415(989) 293-2473 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samantha Dutra NPPES

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

SAMANTHA DUTRA (NPI 1104274018) is an individual technician, other provider in Birch Run, Michigan and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1104274018

Entity TypeIndividualFemale

Primary Taxonomy247200000X

Provider Legal NameSAMANTHA DUTRA

Location Address11908 SILVER CREEK DR APT 11Birch Run, MI 48415-9755

Mailing Address11908 Silver Creek Dr Apt 11Birch Run, MI 48415-9755 · (989) 293-2473

Phone(989) 293-2473

Sole ProprietorNo

Enumeration DateJune 1, 2016

✔ NPI 1104274018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

11908 SILVER CREEK DR APT 11, Birch Run, MI 48415

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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 Samantha Dutra's NPI number?

The NPI number for Samantha Dutra is 1104274018. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Samantha Dutra located?

Samantha Dutra practices at 11908 Silver Creek Dr Apt 11, Birch Run, MI 48415. The listed phone number is (989) 293-2473.

What is Samantha Dutra's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Samantha Dutra was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.