Samuel Black, DMD, PHD, PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401412426 Issued in VA

Legal business name

SAMUEL BLACK, DMD, PHD, PC

Practice address

3700 Old Forest Rd.
Lynchburg, VA 24501

Phone

(434) 515-0370

Fax

(434) 338-6552

NPI assigned

May 5, 2014

Last updated

May 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Arthur Black Jr., M.S., D.M.D., PH.D.NPI 1457525222

Title

President

Phone

(617) 875-3293

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Arthur Black Jr., D.M.D.

  • Dentist
  • Boston, MA
  • NPI 1457525222
  Authorized official Same address or phone

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1376953901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 OLD FOREST RD.",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24501",
            "telephone_number": "434-515-0370",
            "fax_number": "434-338-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 OLD FOREST RD.",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24501",
            "telephone_number": "434-515-0370",
            "fax_number": "434-338-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL BLACK, DMD, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-875-3293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.S., D.M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401412426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Salmon
• John McClure Salmon IV, M.D.
• Patricia L Saltzer, NP
• Sams East Inc (Sams Club Optical 30-6458)
• Sams East Inc (Sams Pharmacy 10-6458)
• Kriston Johnson Sandidge, DNP, FNP-C, PMHNP-BC
• Annie Sandridge
• Tesa Sansbury, BCBA
• Alan Thadekunnel Santhosh
• Dana Lynn Santora, PA

• Endodontics in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.