SAMANTHA RENEE ZACIEWSKI DDS
NPI 1215082342
Dentist - General Practice in Tiffin, OH

Active since January 25, 2007PECOS Enrolled
27 ST LAWRENCE DR, SUITE 109, TIFFIN, OH 44883(419) 447-7337 Get Directions Write a Review

NPPES record last updated: July 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Renee Zaciewski Dds NPPES

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

SAMANTHA RENEE ZACIEWSKI DDS (NPI 1215082342) is an individual general practice provider in Tiffin, Ohio, licensed in Ohio (30-022212) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215082342
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSAMANTHA RENEE ZACIEWSKICredential: DDS
Location Address27 ST LAWRENCE DR, SUITE 109Tiffin, OH 44883-8312
Mailing Address27 St Lawrence Dr, Suite 109Tiffin, OH 44883-8312 · (419) 447-7337
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 6, 2015
NPI 1215082342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OH · 30-022212
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.

27 ST LAWRENCE DR, Tiffin, OH 44883

Other Identifiers 3

Other04968OH · Paramount
Medicaid2624815OH
Other9182269OH · Doral

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Samantha Zaciewski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 44883 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.72
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.07
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $17.01
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Surgery
27 ST LAWRENCE DR, SUITE 203
TIFFIN, OH 44883
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
27 ST LAWRENCE DR, STE 107
TIFFIN, OH 44883
Occupational Therapist
27 ST LAWRENCE DR, SUITE 104
TIFFIN, OH 44883
Physical Therapist
27 ST LAWRENCE DR
TIFFIN, OH 44883
Dentist (Pediatric Dentistry)
27 ST LAWRENCE DR, SUITE 109
TIFFIN, OH 44883
Occupational Therapist
27 ST LAWRENCE DR, SUITE 104
TIFFIN, OH 44883
Speech-Language Pathologist
27 ST LAWRENCE DR, SUITE 104
TIFFIN, OH 44883
Urology
27 ST LAWRENCE DR, SUITE 204
TIFFIN, OH 44883
Durable Medical Equipment & Medical Supplies
27 ST LAWRENCE DR, SUITE 107
TIFFIN, OH 44883
Dentist (Pediatric Dentistry)
27 ST LAWRENCE DR, SUITE 109
TIFFIN, OH 44883
Physician Assistant (Medical)
27 ST LAWRENCE DR, SUITE 204
TIFFIN, OH 44883
Speech-Language Pathologist
27 ST LAWRENCE DR
TIFFIN, OH 44883
Speech-Language Pathologist
27 ST LAWRENCE DR, SUITE 104
TIFFIN, OH 44883
Occupational Therapist
27 ST LAWRENCE DR, SUITE 104
TIFFIN, OH 44883
Family Medicine
27 ST LAWRENCE DR, SUITE 101
TIFFIN, OH 44883
Internal Medicine (Pulmonary Disease)
27 ST LAWRENCE DR, SUITE 201A
TIFFIN, OH 44883
Speech-Language Pathologist
27 ST LAWRENCE DR
TIFFIN, OH 44883
Clinic/Center (Medical Specialty)
27 ST LAWRENCE DR, SUITE 204
TIFFIN, OH 44883
Nurse Practitioner (Family)
27 ST LAWRENCE DR, SUITE 204
TIFFIN, OH 44883

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215082342, enumerated as an "individual" on January 25, 2007.

The provider is located at 27 ST LAWRENCE DR SUITE 109 TIFFIN, OH 44883 and the phone number is (419) 447-7337.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.