DR. ERIC BLACK


Address: 2920 N 4th St, Flagstaff, AZ 86004-1816
Phone: 9285229405

DR. ERIC BLACK (NPI# 1154364305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154364305
Entity Type Individual
Full Name DR. ERIC BLACK
Credential DDS
Practice Address 2920 N 4th St
Flagstaff
AZ 86004-1816
Mailing Address Po Box 600
167 North Main Street
Tuba City
AZ 86045-0600
Practice Telephone 9285229405
Practice Fax Number 9285224808
Mailing Telephone 9282832501
Mailing Fax Number 9282832677
Enumeration Date 2006-06-14
Last Update Date 2014-09-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist DD2687 NM Dental Providers
Y 1223D0001X Dentist
Specialization: Dental Public Health
6899 AZ Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 974156 05

Other Providers ERIC BLACK

NPI Name Taxonomy Address Enumeration
1174000285 Eric Black Pharmacist 657 Us Highway 101 N, Crescent City, CA 95531-2306 2018-07-20
1730526013 Eric J Black Counselor 1261 Chaffer Dr, Rochester Hills, MI 48306-3714 2013-05-28
1962874792 Eric Black Physician Assistant 1650 Dixwell Ave, Hamden, CT 06514-3615 2015-10-20
1831528066 Eric Black Social Worker 51 Market St, Bangor, PA 18013-1901 2013-11-07
1982863338 Eric M Black Orthopaedic Surgery 140 Park Ave, Florham Park, NJ 07932-1049 2008-06-02
1245323005 Eric Richard Black Psychiatry & Neurology 901 W Jefferson St, Springfield, IL 62702-4833 2006-10-02
1598877961 Eric Lee Black Pharmacist 2339 Broadway St, Mount Vernon, IL 62864-2925 2006-08-31

Office Location

Street Address 2920 N 4TH ST
City FLAGSTAFF
State AZ
Zip Code 86004-1816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831192913 Karen Holder Nurse Practitioner 2920 N 4th St, Flagstaff, AZ 86004-1816 2005-05-23
1205433646 Alma Araiza Dental Hygienist 2920 N 4th St, Flagstaff, AZ 86004-1816 2020-10-08
1235742875 Joseph Ijeomah Nnani Pharmacist 2920 N 4th St, Flagstaff, AZ 86004-1816 2020-08-24
1881202976 Tasha Harder Student in an Organized Health Care Education/Training Program 2920 N 4th St, Flagstaff, AZ 86004-1816 2020-07-15
1518585181 Elizabeth Curtiss Student in an Organized Health Care Education/Training Program 2920 N 4th St, Flagstaff, AZ 86004-1816 2020-07-10
1669007043 Raquel Ann Mickelson Counselor 2920 N 4th St, Flagstaff, AZ 86004-1816 2020-03-06
1326671595 Dana Michelle Morrison Dental Hygienist 2920 N 4th St, Flagstaff, AZ 86004-1816 2020-02-17
1396388740 Lauren Marie Weinand Family Medicine 2920 N 4th St, Flagstaff, AZ 86004-1816 2019-10-17
1366098295 Nicole Masako Paiva Pharmacist 2920 N 4th St, Flagstaff, AZ 86004-1816 2019-08-15
1346896271 Randi Braak Pharmacist 2920 N 4th St, Flagstaff, AZ 86004-1816 2019-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598387805 Michael Joseph Oxtoby Counselor 2625 N. King St., Flagstaff, AZ 86004 2020-05-08
1083264501 Dazhoni Elizabeth Scott Counselor 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 2019-09-17
1760948046 Emily Bauerle Social Worker 3009 N West St, Flagstaff, AZ 86004 2019-02-12
1992295745 Kaibab Behavioral Services, Pllc Behavioral Analyst 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 2018-05-17
1083115364 Sequelcare of Arizona Community Based Residential Treatment Facility, Mental Illness 8800 Marys Drive, Flagstaff, AZ 86004 2018-02-22
1710391081 Janet Coleman Hearing Instrument Specialist 1851 E Butler Avenue, Flagstaff, AZ 86004 2014-06-16
1568703163 Mercy Timoh Pharmacist 4255 E. Soliere Ave., Flagstaff, AZ 86004 2013-03-06
1053617217 Scott Nichols Veterinarian 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 2011-02-07
1366745218 Karoline S. Mariano Registered Nurse 3480 East Route 66, Flagstaff, AZ 86004 2010-12-15
1912209719 Payal Parekh Pharmacist 1500 E Cedar, Flagstaff, AZ 86004 2010-11-30
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Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407390826 Westwinddental Unionhills Dentist 717 W Union Hills Dr, Phoenix, AZ 85027-5580 2016-12-05
1881007821 Dallin Reed Snow Dentist 4540 E Baseline Rd Ste 110, Mesa, AZ 85206 2014-06-06
1104239508 Irma Irene Paulley Dentist 10,000 S. Wilmot Rd, Tucson, AZ 85734 2014-06-04
1538580113 Brian T. Hanstad Dentist 2105 N. Citrus Ln, Aspc-perryville, Phoenix, AZ 85395 2013-12-26
1538593157 Arizona Department of Health Services Dentist 150 N 18th Avenue, Suite 320, Phoenix, AZ 85007-3205 2013-08-30
1609110915 Sierra Sky Dental LLC Dentist 5259 W Indian School Rd, Suite 110, Phoenix, AZ 85031-2604 2012-11-27
1275800880 Mark Edward Emshwiller Dentist 3212 N Winsong Drive, Prescott Valley, AZ 86314 2011-11-28
1497074231 Ethan Foster Higson Dentist Highway 191 & Hospital Drive, Chinle, AZ 86503 2010-05-19
1154649101 Meredith A Snyder Dentist Highway 191 and Hospital Drive, Chinle, AZ 86503 2010-05-13
1326166604 Anthony Giacomo Brusca Dentist 1403 Birch St, Globe, AZ 85501-1328 2007-03-26
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Competitor

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City FLAGSTAFF
Zip Code 86004

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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