Richard F. Black, Dmd., Mph, Pc

LBN: Richard F. Black, Dmd., Mph, Pc
Richard F. Black, Dmd., Mph, Pc is an health care organization with primary practice located at 15 Meade St Suite U5, Wellsboro PA 16901-1813. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Richard F. Black, Dmd., Mph, Pc can be contacted via phone (570) 724-2141, or through Black, Richard F. via phone (570) 724-2141.

Contact Information

Primary practice address
15 Meade St Suite U5 Wellsboro PA 16901-1813
Phone: (570) 724-2141
Fax: (570) 724-3942
Website:
Map and Directions
Authorized official contact:
Name: Black, Richard F. DMD., MPH
Phone: (570) 724-2141

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X DS025700L Pennsylvania

Profile Details

NPI number 1295097699
LBN Legal business name Richard F. Black, Dmd., Mph, Pc
DBA Doing business as
Authorized official Black, Richard F. DMD., MPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2012
Last updated Jun 12th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295097699 NPPES
Pennsylvania MEDICAID 0010875620001
Pennsylvania Other 141040
Pennsylvania Other 141040

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