Individual
DR. JAMES L SAMPLES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1411A N JEFFERSON ST, CARROLLTON, MO 64633-1945
(660) 542-1653
(660) 542-1654
Mailing address
122 WALNUT DR, CARROLLTON, MO 64633-1376
(660) 542-2512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11650
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05646 01 4
BCBS
MO
Enumeration date
05/03/2006
Last updated
07/08/2007
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