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James L Samples Dds ,pc
General Practice Dentistry in Carrollton, Missouri
NPI 1104987841

James L Samples Dds ,pc is a General Practice Dentistry based in Carrollton, MO and is specialized in General Practice. James L Samples Dds ,pc practices in Carrollton, MO. The NPI Number for James L Samples Dds ,pc is 1104987841 and holds a License No. 11650 (Missouri).

The current practice location address for James L Samples Dds ,pc is 1411A N Jefferson St, Carrollton, MO and can be reached out via phone at 660-542-1653.

Location: 1411A N Jefferson St, Carrollton, MO, 64633-1376
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104987841
Provider Name
James L Samples Dds ,pc
Credential
Provider Entity Type
Organization
Address
1411A N Jefferson St, Carrollton, MO, 64633-1376
Phone Number
660-542-1653
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BCBSKC #05646 01 4 01 MO INSURANCE
institution
Provider Business Practice Location Address Details
Address
1411A N Jefferson St
City
Carrollton
State
Missouri
Zip
64633-1945
Phone Number
660-542-1653
Fax Number
person
Provider Business Mailing Address Details
Address
1411A N Jefferson St
City
Carrollton
State
Missouri
Zip
64633-1945
Phone Number
660-542-1653
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11650 (Missouri)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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