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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HARRISON BLACK, D.M.D

Active

DR. HARRISON BLACK, D.M.D is a Pediatric Dentistry healthcare provider located in WICHITA, Kansas. NPI 1750780052 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · WICHITA, KS

Registration Details

NPI Number
1750780052
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2014 (11.941181787637 yrs)
Last Updated
Feb 28, 2022
Licenses
1267 (FL)
DN21749 (FL)
61482 (KS)

Practice Information

Address
3305 E DOUGLAS AVE STE 101
WICHITA, KS, 672181037
Browse KS providers · Browse ZIP 67218
Phone
3162234455
Fax
3162234455
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in WICHITA, KS

Name Credential NPI
DR. MICHAEL FRANCIS ISEMAN DDS 1578553285
DR. STEPHEN PHILLIP MOORE D.D.S. 1376519439
HOANH BA LE D.D.S 1205891355
DR. CRYSTAL RACHELLE WALKER D.D.S. 1619983681
PAUL MICHAEL ELKIN DDS 1568504017
DR. DAVID JAMES BROWN II DDS 1811026115
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.