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

Samuel John Douglas, DDS

Individual provider Dentist · NPI 1124867924

Samuel John Douglas, DDS is a Dentist in Lees Summit, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
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.

See every abbreviation used in this directory →

Practice location Address checks out

519 SW 3rd St Ste G
Lees Summit, MO 64063-2278
Phone: (816) 524-3434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2024021490 (MO)

Record details

NPI number1124867924
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 21, 2024
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address519 Sw 3rd St Ste G, Lees Summit, MO 64063-2278

Other providers in Lees Summit