Sam Antoon, DMD, PA

Primary specialty

DentistTaxonomy code 122300000X

License

17948 Issued in TX

Legal business name

SAM ANTOON, DMD, PA

Practice address

6521 Preston Rd
Suite 300
Plano, TX 75024-2712

Phone

(972) 267-5000

NPI assigned

Dec 15, 2016

Last updated

Dec 15, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

SAM ANTOON, DMD, PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ousama Antoon DMD, D.M.D.

Title

Owner/Dentist

Phone

(972) 267-5000

Specialties & licenses 1

Addresses

Part of

Sam Antoon DMD PA

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ousama Antoon, D.M.D.

  • General Practice Dentistry
  • Plano, TX
  • NPI 1710001912
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1104360767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 PRESTON RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242712",
            "telephone_number": "972-267-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 PRESTON RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242712",
            "telephone_number": "972-267-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM ANTOON, DMD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAM ANTOON, DMD, PA",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "DMD",
        "authorized_official_first_name": "OUSAMA",
        "authorized_official_middle_name": "ANTOON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "972-267-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "17948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Plano, TX
• Providers in Plano, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.