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Contact Information

STUART Z SAMPLES, DDS
850 FAIRWAY CHADWICK PLAZA
CHILLICOTHE, MO64601
 Phone: 660-646-3802
 Fax: 660-646-3887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for STUART Z SAMPLES · (Male)

NPI Number 1912098179
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/27/2006
Last updated 05/10/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 015117
  • MO Medicaid 407272202
  • Other 35602016 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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