Provider Demographics
NPI:1083754329
Name:TOWNSLEY, SAMUEL G (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:G
Last Name:TOWNSLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-1478
Mailing Address - Country:US
Mailing Address - Phone:251-943-1521
Mailing Address - Fax:251-943-1523
Practice Address - Street 1:101 N CEDAR ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-1478
Practice Address - Country:US
Practice Address - Phone:251-943-1521
Practice Address - Fax:251-943-1523
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL40441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice