Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samuel Alan Passo, DDS

Individual provider Periodontics · NPI 1750355194

Dr. Samuel Alan Passo, DDS is a Periodontics in Indianapolis, Indiana. Licensed in Illinois, Indiana, Michigan and Nebraska and 2 more. Registered with an NPI since 2006.

Licensed in
IL, IN, MI, NE, NY, PA
In the registry since
2006
Specialties on file
6
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

7131 Mohawk Ln
Indianapolis, IN 46260
Phone: (502) 767-0027
Fax: (270) 798-8633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 12008878 (IN)
Periodontics Taxonomy 1223P0300X · Licence 2901012290 (MI)
Periodontics Taxonomy 1223P0300X · Licence 040718 (NY)
Periodontics Taxonomy 1223P0300X · Licence DS020240L (PA)
Periodontics Taxonomy 1223P0300X · Licence 5321 (NE)
Periodontics Taxonomy 1223P0300X · Licence 019-020471 (IL)

Record details

NPI number1750355194
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJuly 10, 2013

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