Samuel John Douglas, DDS
NPI #1124867924 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1124867924
- Entity Type
- Individual
- Name
- Samuel John Douglas, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 21, 2024
- Last Updated
- Jun 11, 2024
Practice Location
- Address
- 519 SW 3RD ST STE G
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64063-2278
- Phone
- (816) 524-3434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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