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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL JOHN DOUGLAS, DDS

Active

SAMUEL JOHN DOUGLAS, DDS is a Dentist healthcare provider located in LEES SUMMIT, Missouri. NPI 1124867924 is currently active in the NPPES registry. Verify at CMS.

Dentist · LEES SUMMIT, MO

Registration Details

NPI Number
1124867924
Provider Type
Individual
Gender
Male
NPI Issued
May 21, 2024 (2.2160931247799 yrs)
Last Updated
Jun 11, 2024
License
2024021490 (MO)

Practice Information

Address
519 SW 3RD ST STE G
LEES SUMMIT, MO, 640632278
Browse MO providers · Browse ZIP 64063
Phone
8165243434
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LEES SUMMIT, MO

Name Credential NPI
DR. EDWARD JOHN BAZAR III D.M.D. 1386631703
DR. PATRICIA LEE ROTH-DOHNALEK DDS 1295713311
DR. DHYANESH SURESH D.D.S 1942220595
MS. JOAN ROULSTON WALKER DDS 1851303572
DR. SONAL VEERAL BHOOT DMD 1831204098
SHEILA R JUNGMEYER DDS 1467567396
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.