Dr Sam Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019030498 Issued in IL

Legal business name

DR SAM DENTAL PC

Practice address

3111 W Armitage Ave
Chicago, IL 60647-3818

Phone

(773) 342-8493

NPI assigned

Aug 17, 2018

Organization subpart

No

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

Authorized official

Name

Samuel Osobu, DMD

Title

President

Phone

(312) 493-6089

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1629558762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W HARRISON ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123578",
            "telephone_number": "312-493-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W ARMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473818",
            "telephone_number": "773-342-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SAM DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "OSOBU",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-493-6089",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Robert Louis Potempa DPM
• Dr Robert Zagar PC
• Dr Rosser LTD
• Dr Roy B Guster DDS PC
• Dr Roy Lacey LTD
• Dr Sanjida Mirza MD SC
• Dr Selma Arain LTD
• Dr Silvia Panitch LTD
• Dr Smrithi-Ann Franco Chakkalakal
• Dr Spine Chiropractic and Acupuncture LLC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.