Black, Steven W.
Black, Steven W. is an individual health care provider with primary practice located at 14795 Sw Murray Scholls Dr Ste 119, Beaverton OR 97007-9713. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Black, Steven W. can be contacted via phone (503) 524-0524.Contact Information
Primary practice address
14795 Sw Murray Scholls Dr Ste 119
Beaverton OR 97007-9713
Phone: (503) 524-0524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D6736 | Oregon |
Profile Details
| NPI number | 1174530091 |
|---|---|
| LBN Legal business name | Black, Steven W. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Aug 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174530091 | NPPES |
| Oregon | Other | D6736 | OREGON DENTAL LICENSE |
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