| John J Black Dds, Inc. | |
|
18 S Beech St Cortez CO 81321-3744 | |
| (970) 565-4702 | |
| (970) 565-1979 |
| Full Name | John J Black Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18 S Beech St, Cortez, Colorado |
| Authorized Official Name and Position | John J Black (DIRECTOR) |
| Authorized Official Contact | 9707397721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Black Dds, Inc. Po Box 871 Dove Creek CO 81324-0871 Ph: (970) 739-7721 | John J Black Dds, Inc. 18 S Beech St Cortez CO 81321-3744 Ph: (970) 565-4702 |
| NPI Number | 1760847123 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 12/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760847123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Colorado) | Primary |
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