Eric Black is a Dentist in Tuba City, Arizona. Eric Black practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eric Black is 1154364305. The last update date is 2021-07-02.
Eric Black's current location address is Po Box 600, Tuba City, Arizona. You can contact this provider via phone number 9282832501 and fax number 9282832677. The mailing address for Eric Black is Po Box 600, Tuba City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Black |
|---|---|
| Address | Po Box 600, Tuba City, Arizona |
| Phone Number | 9282832501 |
| Fax Number | 9282832677 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154364305 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2021-07-02 |
Provider Mailing Address Detail
| Address | Po Box 600 |
|---|---|
| City | Tuba City |
| State | Arizona (AZ) |
| Post Code | 860450600 |
| Phone Number | 9282832501 |
| Fax Number | 9282832677 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DD2687 |
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Definition: 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: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 974156 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Eric Black by the Centers for Medicare & Medicaid Services?
The Eric Black has been issued the NPI (National Provider Identifier) 1154364305. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Eric Black's facilities are geographically located?
The facilities of Eric Black are physically situated at the following location: Po Box 600, Tuba City, AZ, 860450600.
What is Eric Black's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eric Black is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154364305 to Eric Black?
The Eric Black received its 1154364305 assignment from the Centers for Medicare & Medicaid Services on 2006-06-14.
As of what date were the Eric Black's details last updated?
The information pertaining to the Eric Black, including its address, specialty, and other details, was most recently updated on 2021-07-02.
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