DR. SAMUEL ALAN PASSO D.D.S. NPI 1750355194

NPI Information

  • NPI: 1750355194
  • Provider Name: DR. SAMUEL ALAN PASSO, D.D.S.
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 7131 MOHAWK LANE
    INDIANAPOLIS, IN
    ZIP 46260
  • Phone: (502) 767-0027

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NPI Details

DR. Samuel Alan Passo, D.D.S. is a periodontics dentist in Indianapolis, IN. 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 Alan Passo, D.D.S. NPI is 1750355194. 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:

7131 MOHAWK LANE
INDIANAPOLIS, IN
ZIP 46260
Phone: (502) 767-0027
Fax: (270) 798-8633

The enumeration date for this NPI number is 2/14/2006 and was last updated on 7/10/2013.

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
11223P0300XDentistPeriodontics2901012290MICHIGANNo
21223P0300XDentistPeriodontics040718NEW YORKNo
31223P0300XDentistPeriodonticsDS020240LPENNSYLVANIANo
41223P0300XDentistPeriodontics5321NEBRASKANo
51223P0300XDentistPeriodontics019-020471ILLINOISNo
61223P0300XDentistPeriodontics12008878INDIANAYes

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: 11/21/2025

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