Individual
SAMUEL BISHOP HUCKABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4701 LOGAN AVE, KANSAS CITY, MO 64136-1161
(816) 350-1007
Mailing address
4701 LOGAN AVE, KANSAS CITY, MO 64136-1161
(816) 350-1007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2025019842
MO
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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