MRS. SAMANTHA ANNE NICOLELLO RDH
NPI 1124736723
Specialist in Meridian, ID

Q: What is Samantha Nicolello's NPI number?

The NPI number for Samantha Nicolello is 1124736723. It was assigned to this individual provider in the NPPES registry on November 11, 2022.

Q: What is Samantha Nicolello's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 11, 2022

4044 N LEGACY WOODS AVE, MERIDIAN, ID 83646(208) 871-0760 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Samantha Anne Nicolello Rdh NPPES

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

MRS. SAMANTHA ANNE NICOLELLO RDH (NPI 1124736723) is an individual specialist in Meridian, Idaho, licensed in Idaho (DH-3204) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1124736723

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. SAMANTHA ANNE NICOLELLOCredential: RDH

Location Address4044 N LEGACY WOODS AVEMeridian, ID 83646-4480

Mailing Address4044 N Legacy Woods AveMeridian, ID 83646-4480 · (208) 871-0760

Phone(208) 871-0760

Sole ProprietorYes

Enumeration DateNovember 11, 2022

NPPES CertifiedNovember 11, 2022

✔ NPI 1124736723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in ID · DH-3204

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedDental HygienistTaxonomy 124Q00000X · License DH-3204 (ID)

4044 N LEGACY WOODS AVE, Meridian, ID 83646

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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 Nicolello's NPI number?

The NPI number for Samantha Nicolello is 1124736723. It was assigned to this individual provider in the NPPES registry on November 11, 2022.

Where is Samantha Nicolello located?

Samantha Nicolello practices at 4044 N Legacy Woods Ave, Meridian, ID 83646. The listed phone number is (208) 871-0760.

What is Samantha Nicolello's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Samantha Nicolello was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.