James L Samples DDS ,PC
Organization Active NPI General Practice Dentistry · Carrollton, MO
NPI 1104987841 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104987841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11650 (MO)
- Legal business name
- JAMES L SAMPLES DDS ,PC
- Practice address
- 1411A N Jefferson St
Carrollton, MO 64633-1945 - Phone
- (660) 542-1653
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. James Lee Samples, DDS
- Title
- Owner
- Phone
- (660) 542-1653
Practitioners 1
-
James L Samples, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 11650 | MO | Yes |
Addresses
Primary practice location
1411A N Jefferson St
Carrollton, MO 64633-1945
Mailing address
122 Walnut Dr
Carrollton, MO 64633-1376
Phone (660) 542-2512
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBSKC #05646 01 4 | Other | MO | INSURANCE |
Other providers in Carrollton, MO
- Amber Renee Hendrix
- Andrew Douglas Horine
- Tiffany M Horst
- Gregory William Hubbard
- Angela Imgarten
- Jefferson Medical Group
- Jefferson Medical Group
- Donald Leroy Kampschmidt
- Stefanie Leann Kissick
- Gay Lynn Korff
All providers in Carrollton, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.