Samuel Lee Wolfe, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401417072 Issued in VA

Practice address

301 S Main St Ste 109
Blacksburg, VA 24060-4978

Phone

(540) 951-8383

NPI assigned

Jul 23, 2020

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Health Center of Northern Virginia

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1366988842

  Single Specialty

  NPD (past)
• GD VA Dhcnv, PLLC

  dba Dental Health Center of Northern Virginia

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1033828983
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1154930444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 GILES RD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603115",
            "telephone_number": "208-703-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST STE 109",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240604978",
            "telephone_number": "540-951-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "SAMUEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Wilson
• Richard L Wilson Jr., M.D.
• Jessica Winebarger
• Joseph Winesett, LPTA
• Cindie Ellen Lambert Wolfe, MT-BC
• Haley Patterson Wolford
• Kelsey Elizabeth Wolford, PA
• Larissa Womack, LPC
• Heather Noelle Woods, BSN, RN, IBCLC
• Lauren Woods, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.