Samuel Alan Passo in Indianapolis - Periodontics
Samuel Alan Passo - NPI 1750355194
Samuel Alan Passo is a Periodontics in Indianapolis, Indiana. Samuel Alan Passo practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Samuel Alan Passo is 1750355194. The last update date is 2013-07-10.
Samuel Alan Passo's current location address is 7131 Mohawk Lane, Indianapolis, Indiana. You can contact this provider via phone number 5027670027 and fax number 2707988633. The mailing address for Samuel Alan Passo is 7131 Mohawk Lane, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Alan Passo |
|---|---|
| Address | 7131 Mohawk Lane, Indianapolis, Indiana |
| Phone Number | 5027670027 |
| Fax Number | 2707988633 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1750355194 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2013-07-10 |
Provider Mailing Address Detail
| Address | 7131 Mohawk Lane |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 46260 |
| Phone Number | 5027670027 |
| Fax Number | 2707988633 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2901012290 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code assigned to Samuel Alan Passo by the Centers for Medicare & Medicaid Services?
The Samuel Alan Passo has been issued the NPI (National Provider Identifier) 1750355194 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Samuel Alan Passo's physical address?
The Samuel Alan Passo is physically located at 7131 Mohawk Lane, in the city of Indianapolis, IN, with the postal code 46260.
What is the Samuel Alan Passo's specialty and taxonomy code?
The Samuel Alan Passo's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date was the 1750355194 assigned to Samuel Alan Passo?
The Samuel Alan Passo was issued its 1750355194 on 2006-02-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Samuel Alan Passo last refreshed?
The information related to the Samuel Alan Passo, including its address, specialty, and other relevant details, was last updated on 2013-07-10.
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