NPI 1013952340

David Black, DDS

Practitioner General Practice Dentistry Madison, WI

Practice location

Address: 2500 Overlook Ter Madison, Madison, WI 53705-2254
Phone: (608) 280-7035
Fax: (608) 280-7211

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2332-015 (WI)

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Registry record

NPI: 1013952340
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2006
Record last updated: 10 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.