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

Individual provider General Practice Dentistry · NPI 1063076438

Samantha Jade Ben-Ezra is a General Practice Dentistry in Washington, District of Columbia. Licensed in District of Columbia, Maryland and New Jersey. Registered with an NPI since 2019.

Licensed in
DC, MD, NJ
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

1201 I St NW Ste 110A
Washington, DC 20005-6004
Phone: (202) 548-7406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DEN1002075 (DC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 17199 (MD)
General Practice Dentistry Taxonomy 1223G0001X · Licence 22DI02797000 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063076438
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2019
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020

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