Individual
SAMUEL DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1701 SE GREENVILLE BLVD, GREENVILLE, NC 27858-4811
(252) 375-8755
Mailing address
1520 COURT AVE, MEMPHIS, TN 38104-2403
(662) 808-6631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13906
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2024
Last updated
08/02/2024
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