| Samuel Oh Dmd Pllc | |
|
3620 W 1st St Ste 40 Prosper TX 75078-3493 | |
| (469) 519-9951 | |
| Not Available |
| Full Name | Samuel Oh Dmd Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3620 W 1st St Ste 40, Prosper, Texas |
| Authorized Official Name and Position | Samuel Oh (OWNER) |
| Authorized Official Contact | 4695199951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Oh Dmd Pllc 3620 W 1st St Ste 40 Prosper TX 75078-3493 Ph: (469) 519-9951 | Samuel Oh Dmd Pllc 3620 W 1st St Ste 40 Prosper TX 75078-3493 Ph: (469) 519-9951 |
| NPI Number | 1558849158 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558849158 | NPI | - | NPPES |
| 1194105809 | Other | TX | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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