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DR SAM DENTAL PC
NPI 1629558762
Dentist - General Practice in Chicago, IL

Active since August 17, 2018
3111 W ARMITAGE AVE, CHICAGO, IL 60647(773) 342-8493 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr Sam Dental Pc NPPES

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

DR SAM DENTAL PC (NPI 1629558762) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since August 2018. The organization lists Samuel Osobu, President, as its authorized official.

NPPES Registry Identity

NPI1629558762
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR SAM DENTAL PC
Location Address3111 W ARMITAGE AVEChicago, IL 60647-3818
Mailing Address2315 W Harrison St Apt 2Chicago, IL 60612-3578 · (312) 493-6089
Phone(773) 342-8493
Organization SubpartNo
Authorized OfficialSamuel OsobuPresident · (312) 493-6089
Enumeration DateAugust 17, 2018
✔ NPI 1629558762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019030498
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3111 W ARMITAGE AVE, Chicago, IL 60647
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLENORE SCOTT MS, LCSW
Social Worker (Clinical)
3111 W ARMITAGE AVE
CHICAGO, IL 60647
Cook County (310) 490-0072
MOUNT SINAI COMMUNITY FOUNDATION
Family Medicine
3111 W ARMITAGE AVE
CHICAGO, IL 60647
Cook County (773) 394-5260
CORAL SERRANO BENNITT MS, LCPC
Counselor (Professional)
3111 W ARMITAGE AVE
CHICAGO, IL 60647
Cook County (872) 588-1071
RAY OF LIGHT BEHAVIORAL HEALTH SERVICES PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3111 W ARMITAGE AVE
CHICAGO, IL 60647
Cook County (312) 404-7221

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 Dental PC's NPI number?

The NPI number for Dr Sam Dental PC is 1629558762. It was assigned to this organization in the NPPES registry on August 17, 2018.

Where is Dr Sam Dental PC located?

Dr Sam Dental PC is located at 3111 W Armitage Ave, Chicago, IL 60647. The listed phone number is (773) 342-8493.

What is Dr Sam Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dr Sam Dental PC was last updated on August 17, 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.