DR. SAMUEL KOO DMD MS DMSC NPI 1093912982

NPI Information

  • NPI: 1093912982
  • Provider Name: DR. SAMUEL KOO, DMD, MS, DMSC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 386 WASHINGTON ST
    WELLESLEY HILLS, MA
    ZIP 02481
  • Phone: (781) 235-6710

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NPI Details

DR. Samuel Koo, DMD, MS, DMSC is a periodontics dentist in Wellesley Hills, MA. The provider is 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. DR. Samuel Koo, DMD, MS, DMSC NPI is 1093912982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

386 WASHINGTON ST
WELLESLEY HILLS, MA
ZIP 02481-213
Phone: (781) 235-6710

The enumeration date for this NPI number is 7/2/2007 and was last updated on 10/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsDN1857917MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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