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Richard F. Black, Dmd., Mph, Pc
Oral and Maxillofacial Surgery Clinic/Center in Wellsboro, Pennsylvania
NPI 1295097699

Richard F. Black, Dmd., Mph, Pc is a Oral and Maxillofacial Surgery Clinic/Center based in Wellsboro, PA and is specialized in Oral and Maxillofacial Surgery. Richard F. Black, Dmd., Mph, Pc practices in Wellsboro, PA. The NPI Number for Richard F. Black, Dmd., Mph, Pc is 1295097699 and holds a License No. DS025700L (Pennsylvania).

The current practice location address for Richard F. Black, Dmd., Mph, Pc is 15 Meade St, Wellsboro, PA and can be reached out via phone at 570-724-2141 and via fax at 570-724-3942.

Location: 15 Meade St, Wellsboro, PA, 16901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295097699
Provider Name
Richard F. Black, Dmd., Mph, Pc
Credential
Provider Entity Type
Organization
Address
15 Meade St, Wellsboro, PA, 16901
Phone Number
570-724-2141
Fax Number
570-724-3942
Provider Enumeration Date
06/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0010875620001 05 PA
141040 01 PA PA BLUE SHIELD
141040 01 PA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
15 Meade St
City
Wellsboro
State
Pennsylvania
Zip
16901-1813
Phone Number
570-724-2141
Fax Number
570-724-3942
person
Provider Business Mailing Address Details
Address
15 Meade St
City
Wellsboro
State
Pennsylvania
Zip
16901-1813
Phone Number
570-724-2141
Fax Number
570-724-3942
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
DS025700L (Pennsylvania)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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