Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAMIAN LEON BLACK, D.M.D., M.S., FACP
ActiveDR. DAMIAN LEON BLACK, D.M.D., M.S., FACP is a Pediatric Dentistry healthcare provider located in SUMMERFIELD, Florida. NPI 1710292826 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SUMMERFIELD, FL
Registration Details
- NPI Number
- 1710292826
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2010 (16.015424127376 yrs)
- Last Updated
- Aug 9, 2021
- Licenses
-
59429 (CA)DN25591 (FL)
Practice Information
- Address
-
16850 S US HIGHWAY 441 STE 301SUMMERFIELD, FL, 344918657Browse FL providers · Browse ZIP 34491
- Phone
- 3523073006
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
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.