Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Samuelson, DDS

Individual provider Dentist · NPI 1275674574

Kenneth Samuelson, DDS is a Dentist in Nellis AFB, Nevada. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 32611 (CA)

Record details

NPI number1275674574
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESNovember 19, 2018
Mailing address4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600

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