DR. Emmett Wheeless Black JR., DMD

NPI #1790819381 in Dublin, Georgia

Provider Information

NPI Number: 1790819381
Entity Type: Individual
Name: DR. Emmett Wheeless Black JR., DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 526 ACADEMY AVE
City: Dublin
State: Georgia
ZIP Code: 31021-5202
Phone: (478) 272-6316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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