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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

NPI Number 1376953901
LBN Legal business name SAMUEL BLACK, DMD, PHD, PC
Authorized official SAMUEL BLACK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2014
Last updated 05/05/2014 - About 12 years ago
Identifiers
VA License # 0401412426
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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