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Contact Information

DAVID K BLACK, DDS
903 RUSSELL AVE
SUITE 201
GAITHERSBURG, MD20879-3282
 Phone: 301-740-8488
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DAVID K BLACK · (Male)

NPI # 1285653626
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/18/2006
Last updated 09/26/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 10440
  • TX License # 16170
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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