Black, Byron Hal

Black, Byron Hal is an individual health care provider with primary practice located at 102 Memorial Dr , Ripley WV 25271-1164. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Black, Byron Hal can be contacted via phone (304) 514-5500.

Contact Information

Primary practice address
102 Memorial Dr Ripley WV 25271-1164
Phone: (304) 514-5500
Fax: (304) 514-5504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2081 West Virginia

Profile Details

NPI number 1528041399
LBN Legal business name Black, Byron Hal
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Aug 5th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528041399 NPPES
West Virginia MEDICAID 0138164000

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