Kona, Samata
Kona, Samata is an individual health care provider with primary practice located at 840 W Clements St , Odessa TX 79763-4601. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kona, Samata can be contacted via phone (432) 640-8870.Contact Information
Primary practice address
840 W Clements St
Odessa TX 79763-4601
Phone: (432) 640-8870
Fax: (432) 640-4003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21947 | Ohio |
| Dental Providers / General Practice | 1223G0001X | 30691 | Texas |
Profile Details
| NPI number | 1548287493 |
|---|---|
| LBN Legal business name | Kona, Samata |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jan 20th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548287493 | NPPES |
| Ohio | MEDICAID | 2499425 |
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