Warren Charles Black, D.D.S.
Individual provider Active NPI General Practice Dentistry · Big Rapids, MI
NPI 1073722013 · NPPES record last updated Jul 14, 2015
Key facts
- NPI
- 1073722013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901018302 (MI)
- Practice address
- 201S Michigan Ave
Big Rapids, MI 49307-1809 - Phone
- (231) 796-4747
- Fax
- (231) 796-5711
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Rapids Family Dental PLC | General Practice | Current |
Accepting new patients |
| Phoenix Dental Centers P.C. | Current | Accepting new patients | |
| WB Dental Centers P.C. | General Practice | Past |
Accepting new patients |
| Keego Harbor Orthopedic | Past | Accepting new patients | |
| Alex T Gould DMD PLC | General Practice | Past |
Accepting new patients |
Locations
201 S Michigan Ave
Big Rapids, MI 49307
Phone (231) 796-4747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901018302 | MI | Yes |
Addresses
Primary practice location
201S Michigan Ave
Big Rapids, MI 49307-1809
Mailing address
201S Michigan Ave
Big Rapids, MI 49307-1809
Phone (231) 796-4747
Other providers in Big Rapids, MI
- Big Rapids Orthopaedics, PC
- Big Rapids Orthopaedics, PC
- Big Rapids Urology Center PC
- Bio-Medical Applications of Michigan, Inc.
- Henry Ignatius Birchmeier
- Michael Howard Blackburn
- Kathryn Elizabeth Blank
- Bloomfield Chiropractic, LLC
- Bradley Jordan Bloomfield
- Rudy R. D. Bogoian III
All providers in Big Rapids, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.