Lew B. Sample, Dmd, Ms, PC

NPI #1164192803 in Decatur, Alabama

Provider Information

NPI Number
1164192803
Entity Type
Organization
Organization Name
Lew B. Sample, Dmd, Ms, PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 15, 2021
Last Updated
Sep 15, 2021

Practice Location

Address
2014 DANVILLE PARK DR SW
State
Alabama
ZIP Code
35603-1832
Phone
(256) 355-5255

Authorized Official

Name
DR. LLEWELLYN BAIN SAMPLE, DMD
Title
PRESIDENT
Phone
(256) 355-5255

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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