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Contact Information

GREGORY BLACK, DDS
203 CHASE DR
HURRICANE, WV25526-8938
 Phone: 304-757-7792
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GREGORY BLACK · (Male)

NPI # 1790987337
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/05/2007
Last updated 10/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WV License # WV3055
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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