SAMUEL JOHN DOUGLAS DDS
NPI 1124867924
Dentist in Lees Summit, MO

Q: What is Samuel Douglas's NPI number?

The NPI number for Samuel Douglas is 1124867924. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Q: What is Samuel Douglas's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Douglas was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2024

519 SW 3RD ST STE G, LEES SUMMIT, MO 64063(816) 524-3434 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samuel John Douglas Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL JOHN DOUGLAS DDS (NPI 1124867924) is an individual dentist in Lees Summit, Missouri, licensed in Missouri (2024021490) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1124867924

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSAMUEL JOHN DOUGLASCredential: DDS

Location Address519 SW 3RD ST STE GLees Summit, MO 64063-2278

Mailing Address519 Sw 3rd St Ste GLees Summit, MO 64063-2278 · (816) 524-3434

Phone(816) 524-3434

Sole ProprietorNo

Enumeration DateMay 21, 2024

Last NPPES UpdateJune 11, 2024

NPPES CertifiedJune 11, 2024

✔ NPI 1124867924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2024021490

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

519 SW 3RD ST STE G, Lees Summit, MO 64063

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

J AND E DENTAL LLC

Dentist (General Practice)

519 SW 3RD ST STE G
LEES SUMMIT, MO 64063

Jackson County (816) 524-3434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Douglas's NPI number?

The NPI number for Samuel Douglas is 1124867924. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Samuel Douglas located?

Samuel Douglas practices at 519 SW 3rd St Ste G, Lees Summit, MO 64063. The listed phone number is (816) 524-3434.

What is Samuel Douglas's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Samuel Douglas accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Samuel Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Douglas was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.