Individual
DR. SAMUEL DEON COLLINS
Active
Individual
DR. SAMUEL DEON COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28595
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5620
MCNA
TX
Enumeration date
06/15/2006
Last updated
06/06/2023
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