Individual provider · Type 1 NPI
Mark James Black, DDS
Dentist · Champaign, IL
Practice location
1717 Broadmoor Dr
Champaign, IL 61821-5933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 019-023555 (IL) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
3 other providers at this address
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About NPI 1306286034
Mark James Black, DDS's National Provider Identifier is 1306286034, issued on Jun 26, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Champaign, IL. The record was last updated on Jun 26, 2013.