Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC BLACK, DDS
ActiveDental Public Health · GREEN VALLEY, AZ
Registration Details
- NPI Number
- 1154364305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2006 (19.853964709303 yrs)
- Last Updated
- Jul 2, 2021
- Licenses
-
DD2687 (NM)6899 (AZ)
Practice Information
- Address
-
1260 S CAMPBELL AVEGREEN VALLEY, AZ, 856140504Browse AZ providers · Browse ZIP 85614
- Phone
- 5204075617
- Primary Specialty
-
Dental Public Health
1223D0001X
- Additional Specialty
- Dental Public Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.