Black, Harrison

Black, Harrison is an individual health care provider with primary practice located at 3305 E Douglas Ave Ste 101 , Wichita KS 67218-1037. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Black, Harrison can be contacted via phone (316) 223-4455.

Contact Information

Primary practice address
3305 E Douglas Ave Ste 101 Wichita KS 67218-1037
Phone: (316) 223-4455
Fax: (316) 223-4455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1267 Florida
Dental Providers / Pediatric Dentistry 1223P0221X DN21749 Florida
Dental Providers / Pediatric Dentistry 1223P0221X 61482 Kansas

Profile Details

NPI number 1750780052
LBN Legal business name Black, Harrison
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2014
Last updated Feb 28th, 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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