person
Blake Tyler Samper, DDS
Student in an Organized Health Care Education/Training Program in Lexington, South Carolina
NPI 1316704208

Blake Tyler Samper is a Student in an Organized Health Care Education/Training Program based in San Antonio, SC. Blake Tyler Samper practices in Lexington, SC and has the professional credentials of DDS. The NPI Number for Blake Tyler Samper is 1316704208 and holds a License No. (South Carolina).

The current practice location address for Blake Tyler Samper is 5540 Sunset Blvd, Lexington, SC and can be reached out via phone at 803-358-8250.

Location: 5540 Sunset Blvd, Lexington, SC, 78230-1445
person
Provider Profile Details
NPI Number
1316704208
Provider Name
Blake Tyler Samper
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5540 Sunset Blvd, Lexington, SC, 78230-1445
Phone Number
803-358-8250
Fax Number
Provider Enumeration Date
03/06/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5540 Sunset Blvd
City
State
Zip
29072-9262
Phone Number
803-358-8250
Fax Number
person
Provider Business Mailing Address Details
Address
5540 Sunset Blvd
City
State
Zip
29072-9262
Phone Number
803-358-8250
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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