# LAWRENCE B BLACK DDS PC AND KEVIN BASS DMD PC PTR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Black and Bass Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700880663
- **Authorized official:** DR. LAWRENCE B BLACK D.D.S. (DENTIST/PARTNER)
- **Authorized official phone:** (215) 368-1424

## Contact information

- **Practice address:** 410 N BROAD ST, LANSDALE, PA 19446-2414
- **Practice address phone:** (215) 368-1424
- **Mailing address:** 410 N BROAD ST, LANSDALE, PA 19446-2414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS025170L | PA | Yes |

## Other

- **Enumeration date:** 06/09/2005
- **Last updated:** 06/12/2008