Individual
DR. SAM C OLIVE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1628 WEST 3RD AVE, WILLIAMSON, WV 25661
(304) 236-2366
Mailing address
1628 WEST 3RD AVE, WILLIAMSON, WV 25661
(304) 236-2366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2761
WV
122300000X
Dentist
Primary
2781
WV
Other
Enumeration date
02/17/2025
Last updated
01/05/2026
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