Organization · Type 2 NPI

Richard F. Black, Dmd., Mph, PC

Oral and Maxillofacial Surgery Clinic/Center · Wellsboro, PA

NPI number 1295097699 Active

Practice location

15 Meade St, Suite U5
Wellsboro, PA 16901-1813

Fax (570) 724-3942

Mailing address

15 Meade Street, Suite U5
Wellsboro, PA 16901

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XDS025700L (PA)

Oral and Maxillofacial Surgery Clinic/Center: 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.

15 other providers at this address

About NPI 1295097699

Richard F. Black, Dmd., Mph, PC's National Provider Identifier is 1295097699, issued on Jun 12, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Wellsboro, PA. The record was last updated on Jun 12, 2012.