Black & Black Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLACK & BLACK DENTAL LLC

Practice address

2600 Willow Street Pike S
Willow Street, PA 17584-9377

Phone

(717) 464-3223

Fax

(717) 464-4150

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John C Black III, DDA

Title

President

Phone

(717) 464-3223

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John C Black III, DDS

  • General Practice Dentistry
  • Willow Street, PA
  • NPI 1477650455
  NPD (past)
• Connor William Black, DMD

  • General Practice Dentistry
  • Willow Street, PA
  • NPI 1083503759
  NPD (past)
• Kent V Flinchbaugh, DPM

  • Podiatrist
  • Willow Street, PA
  • NPI 1225057110
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689771677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WILLOW STREET PIKE S",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849377",
            "telephone_number": "717-464-3223",
            "fax_number": "717-464-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILLOW STREET PIKE S",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849377",
            "telephone_number": "717-464-3223",
            "fax_number": "717-464-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK & BLACK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-464-3223",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Beachy
• Cole Brian Beckwith, DPT
• Amy Nicole Beelen, MS CCC-SLP
• Leanne K Beidler, M.D.
• Karilyn Grace Bela
• John C Black III, DDS
• Connor William Black, DMD
• Corinne Danielle Blackmun, LMSW
• Thomas Dokubo Braide, MD
• Deborah Edler Brennan

• General Practice Dentistry in Willow Street, PA
• Providers in Willow Street, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.