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Dr. John R. Black
General Practice Dentistry in Lihue, Hawaii
NPI 1801925607

John R. Black is a General Practice Dentistry based in Lihue, HI and is specialized in General Practice. John R. Black practices in Lihue, HI. The NPI Number for John R. Black is 1801925607 and holds a License No. 0921 (Hawaii).

The current practice location address for John R. Black is 4347 Rice St Ste 202, Lihue, HI and can be reached out via phone at 808-245-3582.

Location: 4347 Rice St Ste 202, Lihue, HI, 96766-1335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801925607
Provider Name
John R. Black
Credential
Provider Entity Type
Individual
Gender
Male
Address
4347 Rice St Ste 202, Lihue, HI, 96766-1335
Phone Number
808-245-3582
Fax Number
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06698901 05 HI
0921 01 ID HDS INSURANCE
00087387 01 HI HMSA
institution
Provider Business Practice Location Address Details
Address
4347 Rice St Ste 202
City
Lihue
State
Hawaii
Zip
96766-1335
Phone Number
808-245-3582
Fax Number
person
Provider Business Mailing Address Details
Address
4347 Rice St Ste 202
City
Lihue
State
Hawaii
Zip
96766-1335
Phone Number
808-245-3582
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0921 (Hawaii)
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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