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SETH M BLACK, DDS – NPI #1093707036
Oral & Maxillofacial Surgery

NPI Profile for Dr SETH M BLACK in EAST HAMPTON, NY.

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Contact Information

SETH M BLACK, DDS
2 DONGAN WAY
EAST HAMPTON, NY  11937
 Phone: 917-301-8675
 Fax: 212-755-5572
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

 204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SETH M BLACK · (Male)

NPI Number 1093707036
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/16/2005
Last updated 10/24/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 033118
  • NY Medicaid 00707135
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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