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SAMMY STEFAN NOUMBISSI
NPI 1780882159
Dentist in Waldorf, MD

Active since July 06, 2007PECOS Enrolled
117 SAINT PATRICKS DR, WALDORF, MD 20603(301) 870-4553 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sammy Stefan Noumbissi NPPES

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

SAMMY STEFAN NOUMBISSI (NPI 1780882159) is an individual dentist in Waldorf, Maryland, licensed in Maryland (12911) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780882159
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSAMMY STEFAN NOUMBISSI
Location Address117 SAINT PATRICKS DRWaldorf, MD 20603-4574
Mailing Address14921 Saddle Creek DrBurtonsville, MD 20866-2210 · (301) 870-4553
Phone(301) 870-4553
Sole ProprietorNo
Enumeration DateJuly 6, 2007
Last NPPES UpdateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1780882159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MD · 12911
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
117 SAINT PATRICKS DR, Waldorf, MD 20603
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sammy Stefan Noumbissi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

RIMPLE SINGH D.D.S.
Dentist (General Practice)
117 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 870-4553
AMANDA TINESHA TAYLOR DDS
Dentist (General Practice)
117 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 870-4553
OLUJARE-ABIOLA LAWAL
Dentist
117 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 684-6754
NEIBAUER DENTAL CARE, PC
Dentist (General Practice)
117 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 870-4553
TODD ALLEN BICKLING D.D.S.
Dentist (General Practice)
117 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 870-4553
BHAVINKUMAR PATEL D.D.S.
Dentist (General Practice)
117 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 870-4553
CHRIS NEIBAUER DDS
Dentist
117 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 870-4553
DR. SUNNY C ALLEN DDS
Dentist (Prosthodontics)
117 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 870-4553

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 Sammy Noumbissi's NPI number?

The NPI number for Sammy Noumbissi is 1780882159. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Sammy Noumbissi located?

Sammy Noumbissi practices at 117 Saint Patricks Dr, Waldorf, MD 20603. The listed phone number is (301) 870-4553.

What is Sammy Noumbissi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sammy Noumbissi enrolled in Medicare?

Yes. Sammy Noumbissi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sammy Noumbissi was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.