Barbara Susan Black in Zion Crossroads - Periodontics
Barbara Susan Black - NPI 1417959966
Barbara Susan Black is a Periodontics in Zion Crossroads, Virginia. Barbara Susan Black practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Barbara Susan Black is 1417959966. The last update date is 2015-05-05.
Barbara Susan Black's current location address is 119 Timber Ridge Ln, Zion Crossroads, Virginia. You can contact this provider via phone number 8508032134 and fax number 5404329097. The mailing address for Barbara Susan Black is 119 Timber Ridge Ln, Zion Crossroads, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barbara Susan Black |
|---|---|
| Address | 119 Timber Ridge Ln, Zion Crossroads, Virginia |
| Phone Number | 8508032134 |
| Fax Number | 5404329097 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417959966 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2015-05-05 |
Provider Mailing Address Detail
| Address | 119 Timber Ridge Ln |
|---|---|
| City | Zion Crossroads |
| State | Virginia (VA) |
| Post Code | 229426981 |
| Phone Number | 8508032134 |
| Fax Number | 5404329097 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 401411218 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Barbara Susan Black by the Centers for Medicare & Medicaid Services?
The Barbara Susan Black has been issued the NPI (National Provider Identifier) 1417959966 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Barbara Susan Black?
The Barbara Susan Black is situated at 119 Timber Ridge Ln, in the city of Zion Crossroads, state of VA, with the zip code 229426981.
What is the Barbara Susan Black's specialty and taxonomy code?
The Barbara Susan Black's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417959966 to Barbara Susan Black?
The Barbara Susan Black received its 1417959966 assignment from the Centers for Medicare & Medicaid Services on 2005-08-15.
When was the information regarding Barbara Susan Black, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Barbara Susan Black, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-05-05.