Tyson Black, D.M.D.

Dentist · Grand Junction, CO

Individual Active NPI

NPI number 1679733885

Practice location

2650 North Ave Unit 101
Grand Junction, CO 81501-6403
Phone
(970) 255-1222
Fax
(970) 254-8097

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NPI record

NPI
1679733885
Entity type
Individual (Type 1)
Enumeration date
June 11, 2008
Last updated
February 3, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 5562073-9921 UT

About Dr. Black

Tyson Black, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2650 North Ave Unit 101, Grand Junction, CO 81501-6403. The NPI number 1679733885 was assigned on June 11, 2008 and the record was last updated on February 3, 2009.

Dr. Black lists a license in the registry: #5562073-9921 (UT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyson Black, D.M.D.?

The NPI number is 1679733885.

What is the phone number of Dr. Black?

The phone number listed for the practice location is (970) 255-1222.

Where is Dr. Black located?

2650 North Ave Unit 101, Grand Junction, CO 81501-6403.

What is the taxonomy code for Dr. Black?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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