Individual provider · Type 1 NPI
Samuel Alan Passo, DDS
Periodontics · Indianapolis, IN
NPI number
1750355194
Active
Practice location
7131 Mohawk Lane
Indianapolis, IN 46260
Fax (270) 798-8633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | 2901012290 (MI) |
| Periodontics | 1223P0300X | 040718 (NY) |
| Periodontics | 1223P0300X | DS020240L (PA) |
| Periodontics | 1223P0300X | 5321 (NE) |
| Periodontics | 1223P0300X | 019-020471 (IL) |
| Periodontics Primary | 1223P0300X | 12008878 (IN) |
Periodontics: 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 structures and tissues.
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About NPI 1750355194
Samuel Alan Passo, DDS's National Provider Identifier is 1750355194, issued on Feb 14, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 10, 2013.