Samar Odeh

Dentist · Oak Lawn, IL

Individual Active NPI

NPI number 1619420635

Practice location

7117 W 93rd St
Apt 201
Oak Lawn, IL 60453-2076
Phone
(217) 553-6460

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NPI record

NPI
1619420635
Entity type
Individual (Type 1)
Enumeration date
July 26, 2016
Last updated
July 26, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019030699 IL

About Samar Odeh

Samar Odeh is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 7117 W 93rd St, Apt 201, Oak Lawn, IL 60453-2076. The NPI number 1619420635 was assigned on July 26, 2016 and the record was last updated on July 26, 2016.

Samar Odeh lists a license in the registry: #019030699 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samar Odeh?

The NPI number is 1619420635.

What is the phone number of Samar Odeh?

The phone number listed for the practice location is (217) 553-6460.

Where is Samar Odeh located?

7117 W 93rd St, Apt 201, Oak Lawn, IL 60453-2076.

What is the taxonomy code for Samar Odeh?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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