Samer Sabbagh, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12014092A Issued in IN

Practice address

9105A Indianapolis Blvd Ste 201
Highland, IN 46322-2591

Phone

(219) 838-6500

NPI assigned

Jun 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1356900419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105A INDIANAPOLIS BLVD STE 201",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222591",
            "telephone_number": "219-838-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105A INDIANAPOLIS BLVD STE 201",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222591",
            "telephone_number": "219-838-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Reflection Dr",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605648243",
            "country_code": "US",
            "telephone_number": "630-718-1901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "432 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Kenilworth",
            "state": "IL",
            "postal_code": "600431001",
            "country_code": "US",
            "telephone_number": "847-256-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Wall St Ste D",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832553",
            "country_code": "US",
            "telephone_number": "219-627-2608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3310 W Main St Ste 120",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601751029",
            "country_code": "US",
            "telephone_number": "630-444-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABBAGH",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014092A",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032156",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021003300",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Highland, IN
• Providers in Highland, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.