| Kevin Black, Dmd, Pllc | |
|
2501 65th St Galveston TX 77551-2218 | |
| (409) 744-4551 | |
| Not Available |
| Full Name | Kevin Black, Dmd, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2501 65th St, Galveston, Texas |
| Authorized Official Name and Position | Kevin Black (OWNER/DENTIST) |
| Authorized Official Contact | 6148054702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Black, Dmd, Pllc 2501 65th St Galveston TX 77551-2218 Ph: (409) 744-4551 | Kevin Black, Dmd, Pllc 2501 65th St Galveston TX 77551-2218 Ph: (409) 744-4551 |
| NPI Number | 1740713163 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 04/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740713163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30291 (Texas) | Primary |
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