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

DR. SAMUEL ALAN PASSO, D.D.S.

Active

DR. SAMUEL ALAN PASSO, D.D.S. is a Periodontology healthcare provider located in INDIANAPOLIS, Indiana. NPI 1750355194 is currently active in the NPPES registry. Verify at CMS.

Periodontology · INDIANAPOLIS, IN

Registration Details

NPI Number
1750355194
Provider Type
Individual
Gender
Male
NPI Issued
Feb 14, 2006 (20.310004512115 yrs)
Last Updated
Jul 10, 2013
Licenses
2901012290 (MI)
040718 (NY)
DS020240L (PA)
5321 (NE)
019-020471 (IL)

Practice Information

Address
7131 MOHAWK LANE
INDIANAPOLIS, IN, 46260
Browse IN providers · Browse ZIP 46260
Phone
5027670027
Fax
2707988633
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Periodontology
Additional Specialty
Periodontology
Additional Specialty
Periodontology

Other Periodontology Providers in INDIANAPOLIS, IN

Name Credential NPI
DR. KENNETH LLOYD HEITMAN D.D.S., M.S.D. 1396784427
DR. BRUCE B WILAND DDS, MSD 1740225556
VANCHIT JOHN D.D.S., M.S.D. 1790721991
DR. STEVEN BENEDICT BLANCHARD DDS 1760496954
JAY R BEAGLE DDS, MSD 1427067289
DR. LESLIE HOWARD BROOKS D.D.S. 1447362983
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.