SAMANTHA LEE MUDD DMD
NPI 1477002897
Dentist - General Practice in Louisville, KY

Active since September 27, 2016
4007 VALLEY VIEW DR, LOUISVILLE, KY 40216(502) 448-0678 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Sep 27, 2016 (2 updates tracked since 2016).

About Samantha Lee Mudd Dmd NPPES

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

SAMANTHA LEE MUDD DMD (NPI 1477002897) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (9805) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1477002897
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSAMANTHA LEE MUDDCredential: DMD
Location Address4007 VALLEY VIEW DRLouisville, KY 40216-4221
Mailing Address4007 Valley View DrLouisville, KY 40216-4221 · (502) 448-0678
Sole ProprietorYes
Enumeration DateSeptember 27, 2016
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
NPI 1477002897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KY · 9805
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.
Also ListedDentistTaxonomy 122300000X · License 9805 (KY)
4007 VALLEY VIEW DR, Louisville, KY 40216

Other Names 1

Professional Name (2)Samantha Lee Johnson Dmd

Other Identifiers 1

Medicaid1902627540KY

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist (Pediatric Dentistry)
4007 VALLEY VIEW DR
LOUISVILLE, KY 40216
Dentist (General Practice)
4007 VALLEY VIEW DR
LOUISVILLE, KY 40216
Dentist (Pediatric Dentistry)
4007 VALLEY VIEW DR
LOUISVILLE, KY 40216
Dentist (General Practice)
4007 VALLEY VIEW DR
LOUISVILLE, KY 40216

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 Mudd's NPI number?

The NPI number for Samantha Mudd is 1477002897. It was assigned to this individual provider in the NPPES registry on September 27, 2016. The provider is also known as Samantha Lee Johnson Dmd.

Where is Samantha Mudd located?

Samantha Mudd practices at 4007 Valley View Dr, Louisville, KY 40216. The listed phone number is (502) 448-0678.

What is Samantha Mudd's specialty?

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

What insurance does Samantha Mudd accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 10 other insurers list Samantha Mudd 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 Mudd was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.