SAM B. KHOURY, D.D.S., M.S.
NPI 1477003531
Dentist - Periodontics in Chadds Ford, PA

Active since October 12, 2016
107 COMMONS CT, CHADDS FORD, PA 19317(610) 500-0610 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2018, Oct 12, 2016 (2 updates tracked since 2016).

About Sam B. Khoury, D.d.s., M.s. NPPES

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

SAM B. KHOURY, D.D.S., M.S. (NPI 1477003531) is a healthcare organization registered as a periodontics in Chadds Ford, Pennsylvania and active in the NPI registry since October 2016. The organization lists Samer B Khoury, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1477003531
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameDENTAL IMPLANT & PERIODONTAL SURGEONS OF MAINE LINE, P.C.
Location Address107 COMMONS CTChadds Ford, PA 19317
Mailing Address107 Commons CtChadds Ford, PA 19317-9708 · (610) 500-0610
Organization SubpartNo
Authorized OfficialSamer B KhouryPeriodontist · (610) 500-0610
Enumeration DateOctober 12, 2016
Last NPPES UpdateJuly 18, 20182 updates tracked since enumeration
NPI 1477003531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in PA · DS037420
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 structures and tissues.
107 COMMONS CT, Chadds Ford, PA 19317

Other Names 1

Doing Business AsSam B. Khoury, D.d.s., M.s.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Dental Implant & Periodontal Surgeons Of Maine Line, P.C.'s NPI number?

The NPI number for Dental Implant & Periodontal Surgeons Of Maine Line, P.C. is 1477003531. It was assigned to this organization in the NPPES registry on October 12, 2016. The provider is doing business as Sam B. Khoury, D.D.S., M.S..

Where is Dental Implant & Periodontal Surgeons Of Maine Line, P.C. located?

Dental Implant & Periodontal Surgeons Of Maine Line, P.C. is located at 107 Commons Ct, Chadds Ford, PA 19317. The listed phone number is (610) 500-0610.

What is Dental Implant & Periodontal Surgeons Of Maine Line, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Dental Implant & Periodontal Surgeons Of Maine Line, P.C. was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.