DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAM DAUAHERA, DDS

Active Sole Proprietor

Dentist · ALSIP, IL

Registration Details

NPI Number
1609046705
Provider Type
Individual
Gender
Male
NPI Issued
Mar 4, 2008 (18.173846352114 yrs)
Last Updated
Jan 31, 2012
License
019027577 (IL)
Sole Proprietor
Yes

Practice Information

Address
12033 S PULASKI RD
ALSIP, IL, 608031221
Browse IL providers · Browse ZIP 60803
Phone
7083719373
Fax
7083719424
Primary Specialty
Dentist
122300000X

Other Dentist Providers in ALSIP, IL

Name Credential NPI
MR. JOSEPH EDWARD STATKUS DDS 1679603997
GEORGE PANTELIS DANOS 1205238953
NAIM SHUAIPAJ DMD 1346810108
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.