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Active NPI 1760798979 Individual Practitioner Male Practitioner

Kishore Sama , BDS, MSD

Dentist - Periodontics • Austin, TX

Professional Overview & Biography Verified Profile Summary

Kishore Sama, BDS, MSD is a registered healthcare professional specializing in Dentist - Periodontics in Austin, TX. Practice services are available at 1110 W WILLIAM CANNON DR STE 401 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1110 W William Cannon Dr Ste 401

Austin, TX 787455498

Telephone 5124455811
Associated Practice Facility / Clinic
🏢 Marc Amsili Dds Pa Facility NPI 1073611273

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Austin, TX (511 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

Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License TX 28488

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1053795039

Doctor of Dental Surgery

Dr. Gloria Amsili , DDS

Dentist - General Practice

NPI 1104908524

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2015

Registered at 1110 W WILLIAM CANNON DR STE 401, AUSTIN, TX 787455498 (Tel: 5124455811)

📍
Updated Business Mailing Address February 23, 2015

Registered at 1110 W WILLIAM CANNON DR, STE 401, AUSTIN, TX 787455468 (Tel: 5124455811)

👤
Provider Name / Credentials Updated February 23, 2015

Recorded as KISHORE SAMA, BDS, MSD.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2015

Dentist (License #28488 in TX)

🟢
Initial NPI Registration & Enumeration August 25, 2010

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: 1760798979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2010
Last Update: February 23, 2015
Sole Proprietor: No

Mailing Address

1110 W William Cannon Dr, Ste 401

Austin, TX 787455468

Phone: 5124455811

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.