OrganizationActive
Richard F. Black, DMD., Mph, PC
NPI 1295097699 · Oral and Maxillofacial Surgery Clinic/Center · Wellsboro, PA
Provider details
- NPI number
- 1295097699
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Richard Black, Owner
- License
- DS025700L (PA)
Practice location
15 Meade St
Suite U5
Wellsboro, PA 16901-1813
Phone: (570) 724-2141
Fax: (570) 724-3942
Mailing address
15 Meade Street
Wellsboro, PA 16901
Registry dates
- Enumerated
- 2012-06-12
- Last updated
- 2012-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.