Evelyn T Samuel DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

0401413391 Issued in VA

Legal business name

EVELYN T SAMUEL DMD PC

Practice address

8301 Arlington Blvd
Ste. 207
Fairfax, VA 22031-2902

Phone

(571) 297-4302

NPI assigned

Feb 16, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Evelyn Samuel, DMD

Title

Dentist

Phone

(571) 297-4302

Specialties & licenses 1

Addresses

Other names 1

• Samuel Dental Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1144769639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD",
            "address_2": "STE. 207",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312902",
            "telephone_number": "571-297-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD",
            "address_2": "STE. 207",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312902",
            "telephone_number": "571-297-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN T SAMUEL DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "571-297-4302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samuel Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.