# SAMUELS MOBILE DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598536716
- **Authorized official:** DR. ERIC SCOTT SAMUELS DMD (PRESIDENT)
- **Authorized official phone:** (504) 905-1394

## Contact information

- **Practice address:** 1164 MILLERS LN, VIRGINIA BEACH, VA 23451-5716
- **Practice address phone:** (948) 203-9545
- **Mailing address:** 155 RIDGELEY CIR, NORFOLK, VA 23505-4609
- **Mailing address phone:** (504) 905-1394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2024
- **Last updated:** 01/16/2024