Dr. Samuel Davis , DDS
Dentist - General Practice • Ft. Sill, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Davis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Samuel Davis, DDS was a registered Dentist - General Practice practicing in Ft. Sill, OK. Throughout an active medical career spanning 19 years, Dr. Davis provided care at the practice location at RANDOLPH ROAD until profile deactivation on 2025-06-12.
Practice Location & Contact Primary Location
Randolph Road
Cowan Dental Clinic Bldg 605
Ft. Sill, OK 73503
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Ft. Sill, OK
Practicing in Ft. Sill, OK (1496 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Clinic/Center - Dental
Dentist - General Practice
Doctor of Dental Surgery
Dental Hygienist
Registered Dental Hygienist
Dentist
Doctor of Dental Surgery
Dental Hygienist
Dentist
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 12, 2025
NPI status registered as active in NPPES database
Registered at RANDOLPH ROAD, COWAN DENTAL CLINIC BLDG 605, FT. SILL, OK 73503 (Tel: 5804425925)
Registered at 4075 SAINT CROIX DR, EDMOND, OK 730039123 (Tel: 4053488779)
Recorded as SAMUEL DAVIS, DDS
Dentist (License #2789 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4075 Saint Croix Dr
Edmond, OK 730039123
Phone: 4053488779
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