Samantha Sciancalepore | Ann Arbor, MI • PECOS Search

Samantha Sciancalepore

Dentist

Dental Providers

221 N Ingalls St, Ann Arbor, MI 48104-1511

PECOS Enrollment

Based on the most recent information from CMS, provider Samantha Sciancalepore does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1376221507
Provider Type
Individual
Full Name
Sciancalepore, Samantha
Credential
DDS

Gender
Female
Sole Proprietor
No
Enumeration Date
7/7/2023
Last Updated
7/7/2023

Contact Information

Practice Location

221 N Ingalls St, Ann Arbor, MI 48104-1511

Unlisted Fax

Mailing Location

221 N Ingalls St, Ann Arbor, MI 48104-1511

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 2901601858 Michigan