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Contact Information

SAMUEL BLACK, DMD, PHD, PC
3700 OLD FOREST RD.
LYNCHBURG, VA24501
 Phone: 434-515-0370
 Fax: 434-338-6552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SAMUEL BLACK DMD PHD PC · (Female)

NPI # 1376953901
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2014
Last updated 05/05/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0401412426
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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