DR. SAMUEL BO RUM OH (NPI# 1194105809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194105809 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL BO RUM OH |
| Credential | DMD |
| Practice Address |
17569 Fishtrap Rd Ste 80 Prosper TX 75078-5122 |
| Practice Telephone | 4695199951 |
| Mailing Telephone | 4695199951 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
S6-153 | NV | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
33165 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1026 E Wheatland Rd, Duncanville, TX 751164914 | 9722961835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790184455 | Samuel Oh | Pharmacist | 251 18th St S, Ste 1200, Arlington, VA 22202-3531 | 2014-08-19 |
| 1922168061 | Samuel Oh | Physical Therapist | 2032 New Castle Ave, New Castle, DE 19720-7703 | 2006-12-11 |
| 1881770279 | Samuel Youngsam Oh | Anesthesiology | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2006-10-27 |
| 1568416246 | Samuel P Oh | Anesthesiology | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-05-19 |
| 1760466197 | Samuel Sang-il Oh | Family Medicine | 6250 Clay St, Riverside, CA 92509-6005 | 2005-11-30 |
| Street Address |
17569 FISHTRAP RD STE 80 |
| City | PROSPER |
| State | TX |
| Zip Code | 75078-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734936 | Qnpham, Pllc | Optometrist | 4940 W. University Dr, Prosper, TX 75078 | 2020-03-10 |
| 1518592005 | Ferrari Orthodontics Pllc | Dentist | 1921 N Preston Rd, Proper, TX 75078 | 2020-03-05 |
| 1629538814 | 380 Smiles Pllc | Clinic/Center | 4940 W. University Dr., Suite 40, Prosper, TX 75078 | 2019-03-22 |
| 1558849158 | Samuel Oh Dmd Pllc | Dentist | 17569 Fishtrap Rd, Ste 80, Prosper, TX 75078 | 2018-08-06 |
| 1003303736 | National Vision, Inc. | Technician/Technologist | 871 South Preston Road, Prosper, TX 75078 | 2018-04-18 |
| 1265934749 | Lumincare Physician Group, Pa | Family Medicine | 1000 North Preston Road Suite 60, Prosper, TX 75078 | 2018-03-01 |
| 1164948436 | Dental Office of Prosper,pc | Dentist | 1180 N Preston Rd Suite 20, Prosper, TX 75078 | 2017-08-18 |
| 1750805602 | Texas Dental Surgery | Dentist | 1180 N Coit Rd Ste 40, Prosper, TX 75078 | 2017-08-02 |
| 1285168039 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 500 Richland Boulevard, Prosper, TX 75078 | 2017-04-19 |
| 1679024897 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 2451 E. University Drive, Prosper, TX 75078 | 2016-10-24 |
| Find all providers in zip 75078 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558849158 | Samuel Oh Dmd Pllc | Dentist | 17569 Fishtrap Rd, Ste 80, Prosper, TX 75078 | 2018-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.