DR. John Thomas Black JR., D.M.D.
NPI #1376632943 in Pontotoc, Mississippi
Provider Information
- NPI Number
- 1376632943
- Entity Type
- Individual
- Name
- DR. John Thomas Black JR., D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 209 S MAIN ST
- City
- Pontotoc
- State
- Mississippi
- ZIP Code
- 38863-3319
- Phone
- (662) 489-7768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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