Individual
SAMUEL HIMSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
(660) 885-3690
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
(660) 885-3690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NONE
MO
1223G0001X
General Practice Dentistry
Primary
2026025422
MO
Other
Enumeration date
05/12/2026
Last updated
06/09/2026
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