Dr Jennifer Burke Sams, DDS is a 
Dentist - General Practice based in Kelly Usa, Texas. Dr Jennifer Burke Sams is licensed to practice in North Carolina (license number NC 7256) and her current practice location is 
59th Dental Squadron, 204 Paul Wagner Dr, Building 1739, Kelly Usa, Texas. She can be reached at her office (for appointments etc.) via phone at 
(210) 292-6647.
NPI number for Dr Jennifer Burke Sams is 1629040126 and her current mailing address is 2200 Bergquist Dr. Suite 1, Attn: Credentials (cmc), Lackland Afb, Texas. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629040126.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Jennifer Burke Sams | 
|---|
| Gender | Female | 
|---|
| Speciality | Dentist - General Practice | 
|---|
| Location | 59th Dental Squadron, Kelly Usa, Texas | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1629040126
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 07/08/2007
 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Jennifer Burke Sams such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1629040126 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 1223G0001X | Dentist - General Practice | NC 7256 (North Carolina) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Burke Sams is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Dr Jennifer Burke Sams, DDS 2200 Bergquist Dr. Suite 1, Attn: Credentials (cmc),
 Lackland Afb, TX 78236-5300
 Ph: (210) 292-6647
 | Dr Jennifer Burke Sams, DDS 59th Dental Squadron, 204 Paul Wagner Dr, Building 1739,
 Kelly Usa, TX 78241
 Ph: (210) 292-6647
 | 
		
		 
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