Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samson S Derebe, DDS

Individual provider Dentist · NPI 1962617548

Dr. Samson S Derebe, DDS is a Dentist in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6044 Martin Luther King Way So SUITE#101
Seattle, WA 98118-3179
Phone: (206) 760-9571
Fax: (206) 760-9627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE00008442 (WA)

Record details

NPI number1962617548
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 14, 2007
Last updated in NPPESJuly 8, 2007
Mailing address6044 Martin Luther King Way So, Suite #101, Seattle, WA 98118-3179

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