| Byron H. Black, Dds, Pllc | |
|
102 Memorial Dr Ripley WV 25271-1164 | |
| (304) 514-5500 | |
| (304) 514-5504 |
| Full Name | Byron H. Black, Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 102 Memorial Dr, Ripley, West Virginia |
| Authorized Official Name and Position | Renee L. Johnson (CLINICAL PRACTICE MANAGER) |
| Authorized Official Contact | 3045145500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Byron H. Black, Dds, Pllc 102 Memorial Drive Ripley WV 25271-0717 Ph: (304) 514-5500 | Byron H. Black, Dds, Pllc 102 Memorial Dr Ripley WV 25271-1164 Ph: (304) 514-5500 |
| NPI Number | 1841693355 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 08/05/2022 |
| Medicare PECOS PAC ID | 8325341779 |
|---|---|
| Medicare Enrollment ID | O20160119002767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841693355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2081 (West Virginia) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Byron Hal Black |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528041399 PECOS PAC ID: 7416908413 Enrollment ID: I20050224000403 |
Nathan Walls Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 328 Main St W, Ripley, WV 25271 Phone: 304-372-4009 | |
Thomas H. Layne, Iii, D.d.s. & Dawn M. Myers, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 South Court Street, Ripley, WV 25271 Phone: 304-372-5725 Fax: 304-372-5770 | |
Meegan C Hunt Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Church St N, Ripley, WV 25271 Phone: 304-372-4011 | |
Theodore R. Motes, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Church St N, Ripley, WV 25271 Phone: 304-372-4011 | |
Perrine & Staunton Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Court St S, Ripley, WV 25271 Phone: 304-372-5725 |