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

Octavia Sampson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760242259

Octavia Sampson is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1 Kneeland St
Boston, MA 02111-1527
Phone: (617) 636-6828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6001924-15 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760242259
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2024
Last updated in NPPESJuly 25, 2025
Certification dateJuly 21, 2025

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