DR. SAMANTHA F ROLEN DMD
NPI 1790217263
Dentist - General Practice in Montgomery, AL

Active since April 03, 2017PECOS Enrolled
4730 WOODMERE BLVD, MONTGOMERY, AL 36106(334) 277-5665 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 3, 2020, Mar 17, 2018, Aug 23, 2017 (3 updates tracked since 2017).

About Dr. Samantha F Rolen Dmd NPPES

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

DR. SAMANTHA F ROLEN DMD (NPI 1790217263) is an individual general practice provider in Montgomery, Alabama, licensed in Alabama (6311) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790217263
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMANTHA F ROLENCredential: DMD
Location Address4730 WOODMERE BLVDMontgomery, AL 36106-3065
Mailing Address1609 Pineneedle RdMontgomery, AL 36106-2613
Sole ProprietorNo
Enumeration DateApril 3, 2017
Last NPPES UpdateJune 3, 20203 updates tracked since enumeration
NPPES CertifiedJune 3, 2020
NPI 1790217263 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 AL · 6311
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 6311 (AL)
4730 WOODMERE BLVD, Montgomery, AL 36106

Secondary Practice Locations 2

Location 11601 California AveJoint Base Andrews, MD 20762 · Phone (240) 857-5029
Location 2655 South 7th Street BLDG 700/700-A, 78 MDG/SGPDRobins AFB, GA 31098 · Phone (478) 327-8098

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Samantha Rolen 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 36106 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $81.9
  • Minimum New Patient Price $52.65
  • Maximum New Patient Price $161.63
  • Average New Patient Copayment $20.47
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.4

Established Patients Visit Costs *

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

  • Average Established Patient Price $66.08
  • Minimum Established Patient Price $16.56
  • Maximum Established Patient Price $131.65
  • Average Established Patient Copayment $16.52
  • Minimum Established Patient Copayment $4.14
  • Maximum Established Patient Copayment $32.91

* 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 3 providers are registered at the same or a nearby location.

Dentist
4730 WOODMERE BLVD
MONTGOMERY, AL 36106
Dentist
4730 WOODMERE BLVD
MONTGOMERY, AL 36106
Dentist (General Practice)
4730 WOODMERE BLVD
MONTGOMERY, AL 36106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790217263, enumerated as an "individual" on April 03, 2017.

The provider is located at 4730 WOODMERE BLVD MONTGOMERY, AL 36106 and the phone number is (334) 277-5665.

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

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