Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Kishore Sama, BDS, MSD

Individual provider Periodontics · NPI 1760798979

Dr. Kishore Sama, BDS, MSD practises Periodontics in Austin, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
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Practice location Address checks out

1110 W William Cannon Dr Ste 401
Austin, TX 78745-5498 Not confirmed with CMS for 11 years — call before visiting
Phone: (512) 445-5811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 28488 (TX)

Record details

NPI number1760798979
Entity typeIndividual (Type 1)
GenderMale
Credentials BDS , MSD
Sole proprietorNo
NPI enumeratedAugust 25, 2010
Last updated in NPPESFebruary 23, 2015

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