Individual
ALLEN L BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7535 STATE RD, CINCINNATI, OH 45255-2438
(513) 231-5444
(513) 231-8135
Mailing address
500 RUSCHMAN DR, COLD SPRING, KY 41076-9273
(859) 441-5562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16723
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0423
DENTIST
OH
Enumeration date
08/08/2006
Last updated
07/08/2007
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