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Byron Sansom, D.D.S. — NPI 1962732248, Lapwai, ID | NPI Central

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NPI 1962732248

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Byron Sansom, D.D.S.

NPI 1962732248 · Dentist · Lapwai, ID

Provider details

NPI number: 1962732248
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: No
License: D-4392 (ID)

Specialties & taxonomies

DentistPrimary122300000XLicense D-4392 (ID)
Dental Providers

Practice location

111 Bever Grade Road

Lapwai, ID 83540-0367

Phone: (208) 843-2271

Fax: (208) 621-4995

Approximate (ZIP-level) locationGet directions

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Mailing address

P.o. Box 367

Lapwai, ID 83540

Registry dates

Enumerated: 2010-01-08
Last updated: 2020-01-02
Certified: 2020-01-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.