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
Mailing address7131 Mohawk Lane, Indianapolis, IN 46260

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