DR. JOHN C BLACK III (NPI# 1477650455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477650455 |
| Entity Type | Individual |
| Full Name | DR. JOHN C BLACK III |
| Credential | DDS |
| Practice Address |
2600 Willow Street Pike S Willow Street PA 17584-9377 |
| Practice Telephone | 7174643223 |
| Practice Fax Number | 7174644150 |
| Mailing Telephone | 7174643223 |
| Mailing Fax Number | 7174644150 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS026798L | PA | Dental Providers |
| Street Address |
2600 WILLOW STREET PIKE S |
| City | WILLOW STREET |
| State | PA |
| Zip Code | 17584-9377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780869644 | Kent V. Flinchbaugh Dpm Ltd. | Podiatrist | 2600 Willow Street Pike S, Willow Street, PA 17584-9377 | 2008-01-09 |
| 1689771677 | Black & Black Dental LLC | Dentist | 2600 Willow Street Pike S, Willow Street, PA 17584-9377 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396397873 | Bethany M Noll | Audiologist-Hearing Aid Fitter | 226 Willow Valley Lakes Drive, Suite D, Willow Street, PA 17584 | 2019-07-15 |
| 1720546070 | Michelle Beachy | Licensed Practical Nurse | 212 Willow Lakes Drive, Suite 208, Willow Street, PA 17584 | 2019-03-06 |
| 1295293603 | Mary Florida | Registered Nurse | Department of Veteran Affiars, 212 Willow Valley Lakes Drive, Willow Street, PA 17584 | 2019-03-05 |
| 1275069494 | Victoria Vanburen | Counselor | 2819 Willow Street Pike, Willow Street, PA 17584 | 2017-05-08 |
| 1528505245 | Beverly Gooden | Pharmacist | 2600 Willow St. Pike, Willow St., PA 17584 | 2017-01-20 |
| 1902357544 | White Family Dental - Willow Street | Dentist | 212 Willow Valley Drive, Suite 209, Willow Street, PA 17584 | 2016-10-19 |
| 1134482144 | Alexis H Le | Pharmacist | 2600 N Willow Street Pike, Kmart Pharmacy #3810, Willow Street, PA 17584 | 2012-06-25 |
| 1992020309 | Elizabeth A Trozzo | Pharmacist | 2600 Willow Street Pike, Willow Street, PA 17584 | 2010-03-30 |
| 1295987642 | Nu Smile Family Dentistry | Dentist | 2600 Willowstreet Pike, Ste# 310, Willo W Street, PA 17584 | 2008-10-16 |
| 1629255948 | T W Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 730 Hans Herr Drive, Willow Street, PA 17584 | 2008-01-29 |
| Find all providers in zip 17584 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357544 | White Family Dental - Willow Street | Dentist | 212 Willow Valley Drive, Suite 209, Willow Street, PA 17584 | 2016-10-19 |
| 1316163074 | Charles J King | Dentist | 2534 Willow Street Pike N, Willow Street, PA 17584-9585 | 2007-04-18 |
| 1609982644 | Richard Albert Graff Jr. | Dentist | 222 Willow Valley Lakes Dr, Suite 1400, Willow Street, PA 17584-9463 | 2006-08-22 |
| 1689771677 | Black & Black Dental LLC | Dentist | 2600 Willow Street Pike S, Willow Street, PA 17584-9377 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760087 | Rg Dental Group of Richboro, LLC | Dentist | 56 Newtown Richboro Rd., Suite 1, Richboro, PA 18954 | 2020-11-02 |
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1225636087 | Clark Dental Associates, LLC | Dentist | 7 Bala Ave Ste 301, Bala Cynwyd, PA 19004-3205 | 2020-10-14 |
| 1336747450 | Drexel Hill Smiles PC | Dentist | 4605 State Rd, Drexel Hill, PA 19026-4423 | 2020-10-12 |
| 1568074631 | Haley Ciccarelli | Dentist | 3475 W Chester Pike Ste 220, Newtown Square, PA 19073-4291 | 2020-08-20 |
| 1770195000 | Steven Dodson | Dentist | 7573 Woodbury Pike, Roaring Spring, PA 16673-1601 | 2020-08-18 |
| 1376154807 | Katherine Marie Stranieri | Dentist | 127 S Spring Garden St, Ambler, PA 19002-4726 | 2020-08-10 |
| 1407466162 | Christa A Musto | Dentist | 575 Pierce St Ste 201, Kingston, PA 18704-5700 | 2020-08-06 |
| 1669082632 | Nepa Dental Group, Inc | Dentist | 920 Wyoming Ave Ste 104, Forty Fort, PA 18704-3970 | 2020-08-05 |
| 1184234023 | Bucks County Dental Design, PC | Dentist | 95 Almshouse Rd Ste 201, Richboro, PA 18954-1155 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW STREET |
| Zip Code | 17584 |
Please comment or provide details below to improve the information on DR. JOHN C BLACK III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.