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DR. SAMUEL K FANDINO DDS
NPI 1396960613
Dentist - General Practice in Plymouth, MI

Active since April 13, 2007
1075 MAPLE, PLYMOUTH, MI 48170(734) 454-5656(734) 454-6563 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel K Fandino Dds NPPES

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

DR. SAMUEL K FANDINO DDS (NPI 1396960613) is an individual general practice provider in Plymouth, Michigan, licensed in Michigan (16537) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1396960613
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMUEL K FANDINOCredential: DDS
Location Address1075 MAPLEPlymouth, MI 48170-1545
Mailing Address1075 MaplePlymouth, MI 48170-1545 · (734) 454-5656 · Fax (734) 454-6563
Phone(734) 454-5656
Fax(734) 454-6563
Sole ProprietorNo
Enumeration DateApril 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396960613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 16537
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.
1075 MAPLE, Plymouth, MI 48170
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. JAMES K MCHENRY DDS
Dentist (General Practice)
1075 MAPLE
PLYMOUTH, MI 48170
Wayne County (734) 454-5656

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 Fandino's NPI number?

The NPI number for Samuel Fandino is 1396960613. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Samuel Fandino located?

Samuel Fandino practices at 1075 Maple, Plymouth, MI 48170. The listed phone number is (734) 454-5656.

What is Samuel Fandino's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Samuel Fandino 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 Michigan and Guardian and 1 other insurer list Samuel Fandino 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 Fandino was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.