Dr. Samuel Koo
Periodontist
386 Washington St
Wellesley Hills
, Massachusetts 02481-6213
Dr. Samuel Koo
Periodontist
386 Washington St
Wellesley Hills
, Massachusetts 02481-6213
(617) 223-7750
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Samuel Koo
- 214 Concord St Unit B
- Newton, MA
- Zip : 02462-1314
- Phone : (617) 223-7750
Second Address
- Dr. Samuel Koo
- 386 Washington St
- Wellesley Hills, MA
- Zip : 02481-6213
- Phone : (781) 235-6710
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | DN1857917 | MA |
National Provider Identifier
| NPI | 1093912982 |
|---|---|
| Provider Name | Dr. Samuel Koo |
| First Address | Newton, MA 02462-1314 |
| Second Address | Wellesley Hills, MA 02481-6213 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2007 |
| Last Update Date | 15/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.