| Black & Black Dental Llc | |
|
2600 Willow Street Pike S Willow Street PA 17584-9377 | |
| (717) 464-3223 | |
| (717) 464-4150 |
| Full Name | Black & Black Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2600 Willow Street Pike S, Willow Street, Pennsylvania |
| Authorized Official Name and Position | John C Black (PRESIDENT) |
| Authorized Official Contact | 7174643223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black & Black Dental Llc 2600 Willow Street Pike S Willow Street PA 17584-9377 Ph: (717) 464-3223 | Black & Black Dental Llc 2600 Willow Street Pike S Willow Street PA 17584-9377 Ph: (717) 464-3223 |
| NPI Number | 1689771677 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689771677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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