Samuel Park, DMD
NPI 1609448646ActiveIndividual· Dentist, General Practice· North Smithfield, RI
Dentist, General Practice (DMD) in North Smithfield, Rhode Island, licensed in RI and VA, with an NPI issued in July 2021. Dentsply Sirona Inc reported $24.81 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1609448646 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jul 10, 2021 |
| Last updated in NPPES | Oct 12, 2026 |
| Certified by provider | Oct 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DEN03901 | RI |
| Dentist | 122300000X | 0401417587 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2024$24.81 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $24.81 | 1 |
What the 2024 payments were for
- Food and Beverage$24.81 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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