Samuel V Mesaros
Endodontist
115 Cottonwood Lane
Danville
, Virginia 24540
Samuel V Mesaros
Endodontist
115 Cottonwood Lane
Danville
, Virginia 24540
(434) 791-3740
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Samuel V Mesaros
- 115 Cottonwood Lane
- Danville, VA
- Zip : 24540
- Fax : (434) 791-3740
- Phone : (434) 791-4700
Second Address
- Samuel V Mesaros
- 115 Cottonwood Lane
- Danville, VA
- Zip : 24540
- Fax : (434) 791-3740
- Phone : (434) 791-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 0401008440 | VA |
National Provider Identifier
| NPI | 1023204526 |
|---|---|
| Provider Name | Samuel V Mesaros |
| First Address | Danville, VA 24540 |
| Second Address | Danville, VA 24540 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2007 |
| Last Update Date | 18/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 115194 | ANTHEM (01) | VA |
| 8440 | DELTA (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.