Provider Demographics
NPI:1144498411
Name:SAM E ENGLISH II DDS LLC
Entity type:Organization
Organization Name:SAM E ENGLISH II DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:804-843-3233
Mailing Address - Street 1:16625 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VA
Mailing Address - Zip Code:23192-2660
Mailing Address - Country:US
Mailing Address - Phone:804-883-0164
Mailing Address - Fax:804-883-0166
Practice Address - Street 1:16625 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VA
Practice Address - Zip Code:23192-2660
Practice Address - Country:US
Practice Address - Phone:804-883-0164
Practice Address - Fax:804-883-0166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010040821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty