Individual
MR. DANNY EARL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1600 S COULTER ST, BLDG G, SUITE 500, AMARILLO, TX 79106-1710
(806) 351-2762
(806) 351-2763
Mailing address
9105 GASTON AVE, AMARILLO, TX 79119-6340
(806) 355-3694
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147448802
—
TX
01
—
G601311
CHIPS
TX
Enumeration date
09/06/2006
Last updated
05/21/2015
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