Individual
SAMANTHA HINDUPUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
803 W US HIGHWAY 71, SAVANNAH, MO 64485-1151
(816) 324-5644
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 307-4893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
057709
NY
122300000X
Dentist
Primary
2009028412
MO
122300000X
Dentist
319017551
IL
122300000X
Dentist
60740
KS
Other
Enumeration date
10/20/2010
Last updated
02/16/2021
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