Black, Anthony J.

Black, Anthony J. is an individual health care provider with primary practice located at 12950 Highland Crossing Dr Suite F, Herndon VA 20171-5888. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Black, Anthony J. can be contacted via phone (703) 787-9670.

Contact Information

Primary practice address
12950 Highland Crossing Dr Suite F Herndon VA 20171-5888
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410749 Virginia

Profile Details

NPI number 1992927115
LBN Legal business name Black, Anthony J.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated May 14th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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