Dr Sam Dmd Pc

ActiveOrganizationSpecialty not listed
NPI issued: April 6, 2017

Quick Facts

NPI Number
1366975419
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy261QD0000X — Specialty not listed
Phone
(312) 493-6089
StateIL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1366975419)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (April 6, 2017)
Data source: CMS NPPES

Provider Overview

DR SAM DMD PC is a Healthcare provider based in South Holland, IL who has been registered with CMS since 2017. They are affiliated with 162nd Street Dental. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1366975419
Provider TypeOrganization
StatusActive
Enumeration DateApril 6, 2017

Practice Location

CitySouth Holland
StateIL
ZIP Code60473-2560
Phone(312) 493-6089

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code261QD0000X
License StateIL

Mailing Address

CitySouth Holland
StateIL
ZIP Code60473-2560
Phone(312) 493-6089
Same as practice location

Hospital & Organization Affiliations

🏢

162nd Street Dental

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How to Use This NPI

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For Insurance Billing

Use NPI 1366975419 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1366975419for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1366975419 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →
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25,957
Specialty not listed Providers in the US

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People Also Ask

What is Dr Sam Dmd Pc's NPI number?
Dr Sam Dmd Pc's NPI number is 1366975419, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Dr Sam Dmd Pc's NPI currently active?
Yes, Dr Sam Dmd Pc's NPI status is Active as of the latest CMS NPPES database updates.
What does Dr Sam Dmd Pc specialize in?
Dr Sam Dmd Pc specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 261QD0000X.
Where does Dr Sam Dmd Pc practice?
Dr Sam Dmd Pc practices in South Holland, IL 60473-2560.
When was Dr Sam Dmd Pc's NPI issued?
Dr Sam Dmd Pc's NPI was issued on April 6, 2017.
What is Dr Sam Dmd Pc's provider type?
Dr Sam Dmd Pc is registered as an Organization under CMS NPI Type 2.