Jason Black, DDS

NPI 1275634032 · on the registry since 2006

Practice

Address: 3624 N Hills Dr Ste A103
Austin, TX 78731
Phone: (512) 346-3631
Fax: (512) 346-1381
Organisation at this address: Grace S Yeh, Md, Pa
Tx Southern Dental Ppo Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas