Individual provider · Type 1 NPI
Kishore Sama, BDS, MSD.
Periodontics · Austin, TX
NPI number
1760798979
Active
Practice location
1110 W William Cannon Dr Ste 401
Austin, TX 78745-5498
Mailing address
1110 W William Cannon Dr, Ste 401
Austin, TX 78745-5468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 28488 (TX) |
Periodontics: 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.
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About NPI 1760798979
Kishore Sama, BDS, MSD.'s National Provider Identifier is 1760798979, issued on Aug 25, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Austin, TX. The record was last updated on Feb 23, 2015.