OrganizationActive
Dr Sam DMD PC
NPI 1366975419 · Dental Clinic/Center · South Holland, IL
Provider details
- NPI number
- 1366975419
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Osobu, President(312) 493-6089
- License
- 019030498 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1022 E 162nd St
South Holland, IL 60473-2560
Phone: (312) 493-6089
Street-level locationGet directions
Mailing address
2120 W Washington Blvd
Chicago, IL 60612-2346
Other names (DBA / former)
- Doing business as
- 162nd Street Dental
Registry dates
- Enumerated
- 2017-04-06
- Last updated
- 2017-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.