DR. SAMUEL PAUL BRUNSON
NPI 1477164655
Dentist in Fort Campbell, KY

Active since August 12, 2020
2441 21ST ST, FORT CAMPBELL, KY 42223(270) 412-8545 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Paul Brunson NPPES

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

DR. SAMUEL PAUL BRUNSON (NPI 1477164655) is an individual dentist in Fort Campbell, Kentucky, licensed in South Carolina (9639) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1477164655
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAMUEL PAUL BRUNSON
Location Address2441 21ST STFort Campbell, KY 42223-5582
Mailing Address2441 21st StFort Campbell, KY 42223-5582 · (270) 412-8545
Sole ProprietorNo
Enumeration DateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
NPI 1477164655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in SC · 9639
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.
2441 21ST ST, Fort Campbell, KY 42223

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Dental Assistant
2441 21ST ST
FORT CAMPBELL, KY 42223
Dentist
2441 21ST ST, USA DENTAC
FORT CAMPBELL, KY 42223
Dental Assistant
2441 21ST ST
FORT CAMPBELL, KY 42223
Dentist (General Practice)
2441 21ST ST
FORT CAMPBELL, KY 42223
Dentist (General Practice)
2441 21ST ST
FORT CAMPBELL, KY 42223
Dentist
2441 21ST ST
FORT CAMPBELL, KY 42223
Dentist (General Practice)
2441 21ST ST
FORT CAMPBELL, KY 42223
Dentist
2441 21ST ST
FORT CAMPBELL, KY 42223

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 Brunson's NPI number?

The NPI number for Samuel Brunson is 1477164655. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Where is Samuel Brunson located?

Samuel Brunson practices at 2441 21st St, Fort Campbell, KY 42223. The listed phone number is (270) 412-8545.

What is Samuel Brunson's specialty?

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

What insurance does Samuel Brunson 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 BlueCross BlueShield of South Carolina and 2 other insurers list Samuel Brunson 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 Brunson was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.