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Dr. John Thomas Black JR., DMD
General Practice Dentistry in Pontotoc, Mississippi
NPI 1376632943

John Thomas Black JR. is a General Practice Dentistry based in Pontotoc, MS and is specialized in General Practice. John Thomas Black JR. practices in Pontotoc, MS and has the professional credentials of DMD. The NPI Number for John Thomas Black JR. is 1376632943 and holds a License No. 2066-84 (Mississippi).

The current practice location address for John Thomas Black JR. is 209 S Main St, Pontotoc, MS and can be reached out via phone at 662-489-7768 and via fax at 877-698-4592.

Location: 209 S Main St, Pontotoc, MS, 38863-0539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376632943
Provider Name
John Thomas Black JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
209 S Main St, Pontotoc, MS, 38863-0539
Phone Number
662-489-7768
Fax Number
877-698-4592
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
209 S Main St
City
Pontotoc
State
Mississippi
Zip
38863-3319
Phone Number
662-489-7768
Fax Number
877-698-4592
person
Provider Business Mailing Address Details
Address
209 S Main St
City
Pontotoc
State
Mississippi
Zip
38863-3319
Phone Number
662-489-7768
Fax Number
877-698-4592
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2066-84 (Mississippi)
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.
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