NPI 1174530091 · live from the CMS NPI Registry
Steven W. Black, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Beaverton, OR. National Provider Identifier 1174530091, active.
NPI record
| NPI | 1174530091 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 14795 Sw Murray Scholls Dr, Ste 119, Beaverton, OR 97007 |
| Practice phone | 503-524-0524 |
| Mailing address | Po Box 1891, Lake Oswego, OR 97035 |
| Enumerated | August 2, 2006 |
| Last updated | August 2, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D6736 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.