Kenneth Mason Black in Chapel Hill - General Practice

Kenneth Mason Black - NPI 1689793101

Kenneth Mason Black is a General Practice in Chapel Hill, North Carolina. Kenneth Mason Black practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Mason Black is 1689793101. The last update date is 2007-07-09.

Kenneth Mason Black's current location address is 427 Meadowmont Village Cir, Chapel Hill, North Carolina. You can contact this provider via phone number 9199699330 and fax number 9199692774. The mailing address for Kenneth Mason Black is 427 Meadowmont Village Cir, Chapel Hill, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Mason Black
Address 427 Meadowmont Village Cir, Chapel Hill, North Carolina
Phone Number 9199699330
Fax Number 9199692774
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1689793101
Provider Enumeration Date 2007-03-28
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 427 Meadowmont Village Cir
City Chapel Hill
State North Carolina (NC)
Post Code 275177506
Phone Number 9199699330
Fax Number 9199692774

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6123
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7990772 NC --
5902391 NC --

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FAQs about Kenneth Mason Black

What is the Kenneth Mason Black's unique identification number?

The Kenneth Mason Black has been assigned the NPI (National Provider Identifier) Number 1689793101 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Kenneth Mason Black is physically located?

The Kenneth Mason Black is physically situated at the following address: 427 Meadowmont Village Cir, Chapel Hill, NC, 275177506.

What is Kenneth Mason Black's area of expertise and its corresponding taxonomy classification?

The Kenneth Mason Black's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the Kenneth Mason Black receive the assignment of its 1689793101 from the Centers for Medicare & Medicaid Services?

The Kenneth Mason Black was issued its 1689793101 by the Centers for Medicare & Medicaid Services on 2007-03-28.

As of what date were the details related to Kenneth Mason Black most recently updated or revised?

The information pertaining to Kenneth Mason Black, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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