| NPI | 1104360767 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2016-12-15 |
| Last Updated | 2016-12-15 |
| Authorized Official | Ousama Dmd owner/dentist Phone: 9722675000 |
| Mailing Address | 6521 Preston Rd, Suite 300 Plano, TX 75024-2712 United States Phone: (972) 267-5000 📍 View Map |
| Primary Practice Address | 6521 Preston Rd, Suite 300 Plano, TX 75024-2712 United States Phone: (972) 267-5000 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 122300000X – Dentist | TX | 17948 |
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About NPI 1104360767
Sam Antoon, Dmd, Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1104360767. The primary specialty listed is Dentist. The organization is located in Plano, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-12-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104360767?
NPI 1104360767 belongs to Sam Antoon, Dmd, Pa, a Dentist in Plano, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104360767 active?
The current status of NPI 1104360767 in the NPPES registry is Active. The record was last updated on 2016-12-15.
What specialty is NPI 1104360767?
NPI 1104360767 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104360767?
You can verify NPI 1104360767 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104360767?
The primary practice address on file for NPI 1104360767 is 6521 Preston Rd, Plano, TX 75024-2712. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104360767 issued?
NPI 1104360767 was first issued (enumerated) on 2016-12-15. The NPPES record was last updated on 2016-12-15.
Practice Location Map
Sam Antoon, Dmd, Pa is located at 6521 Preston Rd, Plano, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sam Antoon, Dmd, Pa. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104360767. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist | 17948 | TX |