Samuel Douglas, DDS
NPI 1124867924 · on the registry since 2024
Practice
- Address
- 519 Sw 3rd St Ste G
Lees Summit, MO 64063 - Phone
- (816) 524-3434
- Organisation at this address
- Roger L Fender Dds
J And E Dental Llc
Wendy K. Parsons, O.D., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri