Samuel John Douglas, DDS

Dentist · Lees Summit, MO

Individual Active NPI

NPI number 1124867924

Practice location

519 SW 3rd St Ste G
Lees Summit, MO 64063-2278
Phone
(816) 524-3434

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NPI record

NPI
1124867924
Entity type
Individual (Type 1)
Enumeration date
May 21, 2024
Last updated
June 11, 2024
Certified
June 11, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2024021490 MO

About Dr. Douglas

Samuel John Douglas, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 519 SW 3rd St Ste G, Lees Summit, MO 64063-2278. The NPI number 1124867924 was assigned on May 21, 2024 and the record was last updated on June 11, 2024.

Dr. Douglas lists a license in the registry: #2024021490 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samuel John Douglas, DDS?

The NPI number is 1124867924.

What is the phone number of Dr. Douglas?

The phone number listed for the practice location is (816) 524-3434.

Where is Dr. Douglas located?

519 SW 3rd St Ste G, Lees Summit, MO 64063-2278.

What is the taxonomy code for Dr. Douglas?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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