DR. RICHARD F. BLACK (NPI# 1548392012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548392012 |
| Entity Type | Individual |
| Full Name | DR. RICHARD F. BLACK |
| Credential | D.M.D., M.P.H. |
| Practice Address |
15 Meade St Suite U5 Wellsboro PA 16901-1813 |
| Practice Telephone | 5707242141 |
| Practice Fax Number | 5707243942 |
| Mailing Telephone | 5707242141 |
| Mailing Fax Number | 5707243942 |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS025700L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UNITED CONCORDIA | 993784 | 01 |
| PA | PA BLUE SHIELD | 141040 | 01 |
| PA | BLUE SHIELD | 993784 | 01 |
| PA | UNITED CONCORDIA | 141040 | 01 |
| PA | 0010875620001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184896078 | Richard C Black | Dentist | 1514 Zaragosa Rd, Ste. A-2, El Paso, TX 79936-7905 | 2008-03-31 |
| 1821017468 | Richard A. Black | Psychiatry & Neurology | 1445 W Main St, Newark, OH 43055-1989 | 2006-07-18 |
| 1528017399 | Richard L Black | Optometrist | 133 Glen Rd, Garner, NC 27529-7947 | 2006-05-09 |
| 1093798720 | Richard R Black | Internal Medicine | 512 E Washington St, Chagrin Falls, OH 44022-4447 | 2005-11-28 |
| 1669473955 | Richard Black | Internal Medicine | 340 Wood Road, Braintree, MA 02184 | 2005-08-09 |
| 1306311790 | Richard Black | Physical Therapist | 333 N Summit St, Toledo, OH 43604-1531 | 2018-10-11 |
| 1316124555 | Richard Michael Black | Dentist | 317 N El Camino Real, Suite 203, Encinitas, CA 92024-2811 | 2008-01-30 |
| 1316028103 | Richard E Black | Surgery | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-10-18 |
| 1487644902 | Richard A Black | Radiology | 65 Sockanosset Crossroads, Cranston, RI 02920-6068 | 2005-10-26 |
| Street Address |
15 MEADE ST SUITE U5 |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044256 | David M Cahill | Surgery | 15 Meade St, Ste L5, Wellsboro, PA 16901-1813 | 2005-06-24 |
| 1932548054 | Tioga Health Care Providers, Inc | Urology | 15 Meade St, Suite U3, Wellsboro, PA 16901-1813 | 2013-06-21 |
| 1437598554 | Tioga Health Care Providers, Inc | Podiatrist | 15 Meade St, Suite U4, Wellsboro, PA 16901-1813 | 2013-06-21 |
| 1548609738 | Tioga Health Care Providers Inc | Obstetrics & Gynecology | 15 Meade St, Suite L1, Wellsboro, PA 16901-1813 | 2013-06-20 |
| 1457615197 | Allison A Mcowen | Obstetrics & Gynecology | 15 Meade St, Tioga Ob/gyn Associates, Wellsboro, PA 16901-1813 | 2012-06-27 |
| 1295097699 | Richard F. Black, Dmd., Mph, PC | Clinic/Center | 15 Meade St, Suite U5, Wellsboro, PA 16901-1813 | 2012-06-12 |
| 1730449497 | Richard W. Conley | Podiatrist | 15 Meade St, Suite U4, Wellsboro, PA 16901-1813 | 2012-05-29 |
| 1881900587 | Tioga Health Care Providers 12 | Urology | 15 Meade St, Suite U3, Wellsboro, PA 16901-1813 | 2010-08-19 |
| 1477743821 | Tioga Health Care Providers 11 | Internal Medicine | 15 Meade St, Suite U4, Wellsboro, PA 16901-1813 | 2007-07-31 |
| 1801923115 | Anthony M Nespola | Internal Medicine | 15 Meade St, Wellsboro, PA 16901-1813 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
| 1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
| 1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
| 1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
| 1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
| 1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
| Find all providers in zip 16901 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
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| 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.