| Samuel Black, DMD, PhD, PC | |
|
3700 Old Forest Rd. Lynchburg VA 24501 | |
| (434) 515-0370 | |
| (434) 338-6552 |
| Full Name | Samuel Black, DMD, PhD, PC |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3700 Old Forest Rd., Lynchburg, Virginia |
| Authorized Official Name and Position | Samuel Arthur Black (PRESIDENT) |
| Authorized Official Contact | 6178753293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Black, DMD, PhD, PC 3700 Old Forest Rd. Lynchburg VA 24501 Ph: (434) 515-0370 | Samuel Black, DMD, PhD, PC 3700 Old Forest Rd. Lynchburg VA 24501 Ph: (434) 515-0370 |
| NPI Number | 1376953901 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376953901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 0401412426 (Virginia) | Primary |
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