Samuel Oh DMD PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SAMUEL OH DMD PLLC

Practice address

3620 W 1St St Ste 40
Prosper, TX 75078-3493

Phone

(469) 519-9951

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Oh, DMDNPI 1194105809

Title

Owner

Phone

(469) 519-9951

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Bo Rum Oh, DMD

  • Pediatric Dentistry
  • Prosper, TX
  • NPI 1194105809
  NPD Authorized official

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768089600000",
    "number": "1558849158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 W 1ST ST STE 40",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783493",
            "telephone_number": "469-519-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 W 1ST ST STE 40",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783493",
            "telephone_number": "469-519-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL OH DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-519-9951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1194105809",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Prosper, TX
• Providers in Prosper, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.