Individual
DR. ERIC BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1260 S CAMPBELL AVE, GREEN VALLEY, AZ 85614-0504
(520) 407-5617
Mailing address
1260 S CAMPBELL AVE, GREEN VALLEY, AZ 85614-0504
(520) 407-5600
(520) 407-5990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD2687
NM
1223D0001X
Public Health Dentistry
Primary
6899
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
974156
—
AZ
Enumeration date
06/14/2006
Last updated
04/21/2026
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