SAMANTHA RENEE ZACIEWSKI DDS
NPI 1215082342
Dentist - General Practice in Tiffin, OH
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
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Renee Zaciewski Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44883 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TIFFIN, OH 44883
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 Zaciewski's NPI number?
The NPI number for Samantha Zaciewski is 1215082342. It was assigned to this individual provider in the NPPES registry on January 25, 2007.
Where is Samantha Zaciewski located?
Samantha Zaciewski practices at 27 St Lawrence Dr Suite 109, Tiffin, OH 44883. The listed phone number is (419) 447-7337.
What is Samantha Zaciewski's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Samantha Zaciewski enrolled in Medicare?
Yes. Samantha Zaciewski is registered in the Medicare PECOS enrollment system.
What insurance does Samantha Zaciewski accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Ohio and HRI Dental & Vision and 2 other insurers list Samantha Zaciewski 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 Samantha Zaciewski was last updated on July 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Samantha Renee Zaciewski, DDS · NPI 1215082342
General Practice provider in Tiffin, Ohio. Individual provider, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1215082342 (Entity type: Individual)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 30-022212 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 27 ST LAWRENCE DR, SUITE 109, Tiffin, OH 44883-8312
- **Phone:** (419) 447-7337
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 6, 2015
- **Other identifiers:** Other 04968 (OH); Medicaid 2624815 (OH); Other 9182269 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1215082342) · Data from the CMS NPPES public registry.