Active NPIIndividual provider

Dr. Samuel Koo, DMD, MS, DMSC

Dentist, Periodontics in Wellesley Hills, Massachusetts

NPI Number1093912982
Practice location
386 Washington St, Wellesley Hills, MA 02481-6213
Fax
—
Last updated
October 15, 2018

Samuel Koo is a Dentist, Periodontics based in Wellesley Hills, MA. Samuel Koo practices in Wellesley Hills, MA and has the professional credentials of DMD, MS, DMSC. The NPI Number for Samuel Koo is 1093912982 and holds a License No. DN1857917 (MA). The current practice location address for Samuel Koo is 386 Washington St, Wellesley Hills, MA 02481-6213 and can be reached out via phone at 781-235-6710.

Provider Profile Details

NPI Number
1093912982
Provider Name
Samuel Koo
Credential
DMD, MS, DMSC
Provider Entity Type
Individual
Gender
Male
Address
386 Washington St, Wellesley Hills, MA 02481-6213
Phone Number
781-235-6710
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
July 2, 2007
Last Update Date
October 15, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
386 Washington St
Wellesley Hills, MA 02481-6213
Zip
02481-6213
Phone Number
781-235-6710
Wellesley Hills, MA 02481Get directions →

Provider Business Mailing Address Details

Address
214 Concord St Unit B
Newton, MA 02462-1314
City
Newton
State
MA
Zip
02462-1314
Phone Number
617-223-7750

License Information

License Number
DN1857917
License State
MA
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Samuel Koo, DMD, MS, DMSC?

The NPI number of Dr. Samuel Koo, DMD, MS, DMSC is 1093912982. It was assigned on July 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Samuel Koo, DMD, MS, DMSC?

Dr. Samuel Koo, DMD, MS, DMSC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number DN1857917.

Where does Dr. Samuel Koo, DMD, MS, DMSC practice?

The practice location is 386 Washington St, Wellesley Hills, MA 02481-6213. The office can be reached at 781-235-6710 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093912982 directly on the NPPES registry website.

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