IndividualActive
Eric Black, DDS
NPI 1154364305 · Public Health Dentistry · Green Valley, AZ
Provider details
- NPI number
- 1154364305
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DD2687 (NM)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1260 S Campbell Ave
Green Valley, AZ 85614-0504
Phone: (520) 407-5617
Approximate (ZIP-level) locationGet directions
Mailing address
1260 S Campbell Ave
Green Valley, AZ 85614-0504
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.