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

Dr. Samuel Tamayo Fernandez Jr., DDS

Individual provider Dentist · NPI 1043043565

Dr. Samuel Tamayo Fernandez Jr., DDS is a Dentist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024
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

2805 W Agua Fria Fwy Ste 8A
Phoenix, AZ 85027-3901
Phone: (623) 255-3390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D012283 (AZ)

Record details

NPI number1043043565
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 21, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

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