Individual provider · Type 1 NPI

John Thomas Black Jr., DMD

General Practice Dentistry · Pontotoc, MS

NPI number 1376632943 Active

Practice location

209 S Main St
Pontotoc, MS 38863-3319

Fax (877) 698-4592

Mailing address

PO Box 539, 209 S Main St
Pontotoc, MS 38863-0539

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2066-84 (MS)

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.

4 other providers at this address

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About NPI 1376632943

John Thomas Black Jr., DMD's National Provider Identifier is 1376632943, issued on Oct 12, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pontotoc, MS. The record was last updated on Jul 8, 2007.