Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124867924 Individual Practitioner Male Practitioner

Dr. Samuel John Douglas , DDS

Dentist • Lees Summit, MO

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Douglas, DDS is a registered healthcare professional specializing in Dentist in Lees Summit, MO. Practice services are available at 519 SW 3RD ST STE G under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

519 Sw 3rd St Ste G

Lees Summit, MO 640632278

Telephone 8165243434
Associated Practice Facility / Clinic
🏢 J And E Dental Llc Facility NPI 1598686347

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lees Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
38 Specialists

Practicing in Lees Summit, MO (1740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 2024021490

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1427297852

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2024

Dentist (License #2024021490 in MO)

NPI Profile Active May 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2024

Registered at 519 SW 3RD ST STE G, LEES SUMMIT, MO 640632278 (Tel: 8165243434)

📍
Updated Business Mailing Address May 21, 2024

Registered at 519 SW 3RD ST STE G, LEES SUMMIT, MO 640632278 (Tel: 8165243434)

👤
Provider Name / Credentials Updated May 21, 2024

Recorded as SAMUEL DOUGLAS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 21, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124867924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2024
Last Update: June 11, 2024
Sole Proprietor: No

Mailing Address

519 Sw 3rd St Ste G

Lees Summit, MO 640632278

Phone: 8165243434

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.