Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
700 ESSEX ST UNIT 1A1
LAWRENCE, MA 01841-4396 US

Dr. Kevin Black, D.M.D

Dentist


Dr. Kevin Black, D.M.D

Overview

Dr. Kevin Black, D.M.D is a Dentist in the LAWRENCE area. Dr. Kevin Black, D.M.D primary office location is at 700 ESSEX ST UNIT 1A1 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013352863 and the information was updated approximately 7 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
700 ESSEX ST UNIT 1A1
LAWRENCE, MA 01841-4396 US
Phone: (978)-683-2200
Fax:
Practice Mailing Information
350 N CLARK ST FL 6
CHICAGO, IL 01841-4396 US
Phone:
Fax:
License NumberState
DN1856252MA

No Identifiers found

TaxonomyStatePrimary?
Dentist - Taxonomy Code 122300000X MAY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
PECOS PART B Yes
PECOS DME Yes
PECOS HHA Yes
PECOS PMD -
;