George Peter Black, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS027891L Issued in PA

Practice address

309 N Main St
Archbald, PA 18403-1908

Phone

(570) 876-3012

Fax

(570) 876-3936

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962443937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N MAIN ST",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184031908",
            "telephone_number": "570-876-3012",
            "fax_number": "570-876-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N MAIN ST",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184031908",
            "telephone_number": "570-876-3012",
            "fax_number": "570-876-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "GEORGE",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027891L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lee Albright, RPH
• Melissa Aleksak
• Archbald Community Ambulance and Rescue Squad
• Taylor-Ray Beautz, CCC-SLP
• Justine Beneski, LPC, NCC
• Elizabeth Brady, LCSW
• Shana Carmody, LSW
• Maggie Elizabeth Carter, M.S., CCC-SLP
• Jerome P Casey, D.P.M.
• Qiuxin Chen

• General Practice Dentistry in Archbald, PA
• Providers in Archbald, 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.