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Dr. Sam C Olive , DDS

Dentist β€’ Williamson, WV

Active NPI 1922803592 Individual Practitioner Male Practitioner
Practice location in NPPES

1628 West 3rd Ave
Williamson, WV 25661

Call 3042362366 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1628 West 3rd Ave

Williamson, WV 25661

Telephone 3042362366
Organization at the Same NPPES Address or Phone
Jason R Long Dds, Pllc Facility NPI 1255670063

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Williamson, WV. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Williamson and West Virginia

8 active clinicians are listed under Dentist with a practice address in Williamson, WV (414 in West Virginia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-05
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES WV 2781

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES WV 2761

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: West Virginia State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

1626 W 3rd Ave

Williamson, WV 256613007

Phone: 3042362366

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1982190435

Doctor of Dental Surgery

Dr. Jason Long , DDS

Dentist - General Practice

NPI 1366554479

Doctor of Dental Surgery

NPI 1265882641

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location January 05, 2026

Registered at 1628 WEST 3RD AVE, WILLIAMSON, WV 25661 (Tel: 3042362366)

πŸ“
Updated Business Mailing Address January 05, 2026

Registered at 1628 WEST 3RD AVE, WILLIAMSON, WV 25661 (Tel: 3042362366)

πŸ‘€
Provider Name / Credentials Updated January 05, 2026

Recorded as SAM OLIVE, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2026

Dentist (license number reported to NPPES: WV 2781)

βœ…
NPI Profile Active February 17, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 17, 2025

Registered at 1626 W 3RD AVE, WILLIAMSON, WV 256613007 (Tel: 3042362366)

πŸ“
Business Mailing Address (Initial Record) February 17, 2025

Registered at 24 S SUNSET BLVD, WILLIAMSON, WV 256613035 (Tel: 3047853768)

πŸ‘€
Provider Name / Credentials (Initial Record) February 17, 2025

Recorded as SAM OLIVE, D.D.S

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2025

Dentist (license number reported to NPPES: WV 2761)

🟒
Initial NPI Registration & Enumeration February 17, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922803592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2025
Last Update: January 05, 2026
Sole Proprietor: No

Other Dentists in Williamson

Mailing Address

1628 West 3rd Ave

Williamson, WV 25661

Phone: 3042362366

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.