Individual provider · Type 1 NPI

Connor William Black, DMD

General Practice Dentistry · Willow Street, PA

NPI number 1083503759 Active

Practice location

2600 Willow Street Pike S
Willow Street, PA 17584-9377

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS045246 (PA)

General Practice Dentistry: 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.

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About NPI 1083503759

Connor William Black, DMD's National Provider Identifier is 1083503759, issued on Jun 30, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Willow Street, PA. The record was last updated on Jun 30, 2025.