Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Walter Vincent Samuel, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891920542

Dr. Walter Vincent Samuel, DDS is a Student in an Organized Health Care Education/Training Program in Fargo, North Dakota. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
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

2605 64th Ave S
Fargo, ND 58104-7403
Phone: (701) 799-4381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891920542
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 26, 2009
Last updated in NPPESMay 26, 2009
Mailing address2605 64th Ave S, Fargo, ND 58104-7403

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