Samples, James L

Samples, James L is an individual health care provider with primary practice located at 1411A N Jefferson St , Carrollton MO 64633-1945. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Samples, James L can be contacted via phone (660) 542-1653.

Contact Information

Primary practice address
1411A N Jefferson St Carrollton MO 64633-1945
Phone: (660) 542-1653
Fax: (660) 542-1654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11650 Missouri

Profile Details

NPI number 1669430997
LBN Legal business name Samples, James L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669430997 NPPES
Missouri Other 05646 01 4 BCBS

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