Individual
DR. BYRON HAL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 MEMORIAL DR, RIPLEY, WV 25271-1164
(304) 514-5500
(304) 514-5504
Mailing address
102 MEMORIAL DR, RIPLEY, WV 25271
(304) 514-5500
(304) 514-5504
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2081
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138164000
—
WV
Enumeration date
11/25/2005
Last updated
08/05/2022
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