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Dr. John C Black Iii, DDS
General Practice Dentistry in Willow Street, Pennsylvania
NPI 1477650455

John C Black Iii is a General Practice Dentistry based in Willow Street, PA and is specialized in General Practice. John C Black Iii practices in Willow Street, PA and has the professional credentials of DDS. The NPI Number for John C Black Iii is 1477650455 and holds a License No. DS026798L (Pennsylvania).

The current practice location address for John C Black Iii is 2600 Willow Street Pike S, Willow Street, PA and can be reached out via phone at 717-464-3223 and via fax at 717-464-4150.

Location: 2600 Willow Street Pike S, Willow Street, PA, 17584-9377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477650455
Provider Name
John C Black Iii
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2600 Willow Street Pike S, Willow Street, PA, 17584-9377
Phone Number
717-464-3223
Fax Number
717-464-4150
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2600 Willow Street Pike S
City
Willow Street
State
Pennsylvania
Zip
17584-9377
Phone Number
717-464-3223
Fax Number
717-464-4150
person
Provider Business Mailing Address Details
Address
2600 Willow Street Pike S
City
Willow Street
State
Pennsylvania
Zip
17584-9377
Phone Number
717-464-3223
Fax Number
717-464-4150
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS026798L (Pennsylvania)
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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