Samuels Mobile Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAMUELS MOBILE DENTAL PLLC

Practice address

1164 Millers LN
Virginia Beach, VA 23451-5716

Phone

(948) 203-9545

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Eric Scott Samuels, DMDNPI 1023662335

Title

President

Phone

(504) 905-1394

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Scott Samuels, DMD

  • Dentist
  • Norfolk, VA
  • NPI 1023662335
  NPD Authorized official

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1598536716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 RIDGELEY CIR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054609",
            "telephone_number": "504-905-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 MILLERS LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515716",
            "telephone_number": "948-203-9545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5560 Virginia Beach Blvd Ste 264",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234625629",
            "country_code": "US",
            "telephone_number": "948-203-9545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAMUELS MOBILE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-905-1394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sampson and Scott, Inc.
• Cara Sampson
• Lisa Nicole Sampson, LICENSED CPT
• Sams East Inc
• Nyisha Sams
• Garfield Hue Samuels, M.D.
• Shanae Deana Samuels
• Jacqueline Ruth San Antonio
• Helanytomasa San Diego
• Kayella Lynne San Miguel

• Dental Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.