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162ND STREET DENTAL
NPI 1366975419
Clinic/Center - Dental in South Holland, IL

Active since April 06, 2017
1022 E 162ND ST, SOUTH HOLLAND, IL 60473(312) 493-6089 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 162nd Street Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

162ND STREET DENTAL (NPI 1366975419) is a healthcare organization registered as a dental in South Holland, Illinois and active in the NPI registry since April 2017. The organization lists Samuel Osobu, President, as its authorized official.

NPPES Registry Identity

NPI1366975419
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDR SAM DMD PC
Location Address1022 E 162ND STSouth Holland, IL 60473-2560
Mailing Address2120 W Washington Blvd, Suite. 306Chicago, IL 60612-2346 · (312) 493-6089
Phone(312) 493-6089
Organization SubpartNo
Authorized OfficialSamuel OsobuPresident · (312) 493-6089
Enumeration DateApril 6, 2017
✔ NPI 1366975419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IL · 019030498
1022 E 162ND ST, South Holland, IL 60473
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Other Names 1

Doing Business As162nd Street Dental

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Sam Dmd PC's NPI number?

The NPI number for Dr Sam Dmd PC is 1366975419. It was assigned to this organization in the NPPES registry on April 6, 2017. The provider is doing business as 162nd Street Dental.

Where is Dr Sam Dmd PC located?

Dr Sam Dmd PC is located at 1022 E 162nd St, South Holland, IL 60473. The listed phone number is (312) 493-6089.

What is Dr Sam Dmd PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Dr Sam Dmd PC was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.