Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194105809 Individual Practitioner Male Practitioner

Dr. Samuel Bo Rum Oh , DMD

Dentist - Pediatric Dentistry • Prosper, TX

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Oh, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Prosper, TX. Practice services are available at 3620 W 1ST ST STE 40 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3620 W 1st St Ste 40

Prosper, TX 750783493

Telephone 4695199951
Associated Practice Facility / Clinic
🏢 Samuel Oh Dmd Pllc Facility NPI 1558849158

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Prosper, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Prosper, TX (1046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-04
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License TX 33165

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.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License NV S6-153

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location January 04, 2024

Registered at 3620 W 1ST ST STE 40, PROSPER, TX 750783493 (Tel: 4695199951)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Dentist (License #S6-153 in NV)

📍
Updated Practice Location July 20, 2020

Registered at 17569 FISHTRAP RD STE 80, PROSPER, TX 750785122 (Tel: 4695199951)

📍
Updated Business Mailing Address July 20, 2020

Registered at 17569 FISHTRAP RD STE 80, PROSPER, TX 750785122 (Tel: 4695199951)

NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2017

Registered at 1026 E WHEATLAND RD, DUNCANVILLE, TX 751164914 (Tel: 9722961835)

📍
Updated Business Mailing Address August 21, 2017

Registered at 1955 MARKET CENTER BLVD APT 1314, DALLAS, TX 752073458 (Tel: (408) 550-6341)

👤
Provider Name / Credentials Updated August 21, 2017

Recorded as SAMUEL OH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Dentist (License #S6-153 in NV)

📍
Updated Practice Location July 10, 2017

Registered at 1026 E WHEATLAND RD, DUNCANVILLE, TX 751164914 (Tel: 9722961835)

📍
Updated Business Mailing Address July 10, 2017

Registered at 1955 MARKET CENTER BLVD APT 1314, DALLAS, TX 752073458 (Tel: (408) 550-6341)

NPI Profile Active June 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2015

Registered at 1001 SHADOW LN # MS 7423, LAS VEGAS, NV 891064124 (Tel: 4085506341)

📍
Updated Business Mailing Address June 09, 2015

Registered at 1001 SHADOW LN # MS 7423, LAS VEGAS, NV 891064124 (Tel: 4085506341)

👤
Provider Name / Credentials Updated June 09, 2015

Recorded as SAMUEL OH, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2015

Dentist (License #6645 in NV)

🟢
Initial NPI Registration & Enumeration June 08, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Samuel Oh. Be the first to share your experience!

Sign in to leave a review for Dr. Samuel Oh

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194105809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2015
Last Update: January 04, 2024
Sole Proprietor: No

Mailing Address

17569 Fishtrap Rd Ste 80

Prosper, TX 750785122

Phone: 4695199951

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.