Dr. Eric Black
Dentist Dental Public Health
1260 S Campbell Ave
Green Valley
, Arizona 85614-0504
Dr. Eric Black
Dentist Dental Public Health
1260 S Campbell Ave
Green Valley
, Arizona 85614-0504
(928) 283-2677
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About
Features
Specialties
- Dentist
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Eric Black
- Po Box 600 167 North Main Street
- Tuba City, AZ
- Zip : 86045-0600
- Fax : (928) 283-2677
- Phone : (928) 283-2501
Second Address
- Dr. Eric Black
- 1260 S Campbell Ave
- Green Valley, AZ
- Zip : 85614-0504
- Phone : (520) 407-5617
Reviews
FAQs
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What type of doctor is Dr. Eric Black
In what state does Dr. Eric Black practice in?
Where is Dr. Eric Black ’s practice located?
What is Dr. Eric Black ’s gender?
Is Dr. Eric Black a sole practitioner?
Is Dr. Eric Black accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | DD2687 | NM |
| Y | 1223D0001X | Dental Public Health | 6899 | AZ |
National Provider Identifier
| NPI | 1154364305 |
|---|---|
| Provider Name | Dr. Eric Black |
| First Address | Tuba City, AZ 86045-0600 |
| Second Address | Green Valley, AZ 85614-0504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 02/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 974156 | (05) | AZ |
| V07209 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.