Stephen J Black in Brockton - Dentist

Stephen J Black - NPI 1942320254

Stephen J Black is a Dentist in Brockton, Massachusetts. Stephen J Black practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen J Black is 1942320254. The last update date is 2007-07-08.

Stephen J Black's current location address is 288 Belmont Street, Brockton, Massachusetts. You can contact this provider via phone number 5085830103 and fax number 5085830140. The mailing address for Stephen J Black is 288 Belmont Street, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen J Black
Address 288 Belmont Street, Brockton, Massachusetts
Phone Number 5085830103
Fax Number 5085830140
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1942320254
Provider Enumeration Date 2007-03-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 288 Belmont Street
City Brockton
State Massachusetts (MA)
Post Code 2301
Phone Number 5085830103
Fax Number 5085830140

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 13600
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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FAQs about Stephen J Black

What is the unique identification code assigned to Stephen J Black by the Centers for Medicare & Medicaid Services?

The Stephen J Black has been issued the NPI (National Provider Identifier) 1942320254. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Stephen J Black is located?

The Stephen J Black is situated at the following address: 288 Belmont Street, Brockton, MA, 2301.

What is Stephen J Black's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stephen J Black's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When was the Stephen J Black's 1942320254 issued?

The Stephen J Black's 1942320254 was issued on 2007-03-30.

As of what date were the details pertaining to Stephen J Black last refreshed?

The information related to the Stephen J Black, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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