Individual
DR. DENNIS D BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N DUNLAP ST, MEMPHIS, TN 38105
(901) 287-6760
Mailing address
51 N DUNLAP ST, MEMPHIS, TN 38105-4625
(901) 287-6760
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
13581
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3835351
—
TN
Enumeration date
04/26/2006
Last updated
07/06/2018
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