Kyle Samples

Dentist · Sedalia, MO

Individual Active NPI

NPI number 1407146764

Practice location

821 Westwood Dr
Sedalia, MO 65301-2102
Phone
(660) 826-4774
Fax
(660) 826-1300

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NPI record

NPI
1407146764
Entity type
Individual (Type 1)
Enumeration date
April 7, 2011
Last updated
July 28, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2011015414 MO
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1411a N Jefferson St
Carrollton, MO 64633-1945
Phone
(660) 542-6066
Fax
(660) 646-3887

About Kyle Samples

Kyle Samples is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 821 Westwood Dr, Sedalia, MO 65301-2102. The NPI number 1407146764 was assigned on April 7, 2011 and the record was last updated on July 28, 2016.

Kyle Samples lists a license in the registry: #2011015414 (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 Kyle Samples?

The NPI number is 1407146764.

What is the phone number of Kyle Samples?

The phone number listed for the practice location is (660) 826-4774.

Where is Kyle Samples located?

821 Westwood Dr, Sedalia, MO 65301-2102.

What is the taxonomy code for Kyle Samples?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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