Individual
DR. SAMUEL DONALD RAFFAELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
620 PAUL JONES CIRCLE, NAVAL MEDICAL CENTER: ORAL SURGERY RESIDENT ROOM, PORTSMOUTH, VA 23708-2370
(562) 322-0159
Mailing address
7500 OCEAN FRONT AVE APT B, VIRGINIA BEACH, VA 23451-1954
(562) 322-0159
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401416875
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
043800492
VA
Other
Enumeration date
08/05/2019
Last updated
02/05/2026
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