DR. CONNOR WILLIAM BLACK DMD
NPI 1083503759
Dentist - General Practice in Willow Street, PA

Active since June 30, 2025
2600 WILLOW STREET PIKE S, WILLOW STREET, PA 17584(717) 464-3223 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Connor William Black Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CONNOR WILLIAM BLACK DMD (NPI 1083503759) is an individual general practice provider in Willow Street, Pennsylvania, licensed in Pennsylvania (DS045246) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1083503759
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CONNOR WILLIAM BLACKCredential: DMD
Location Address2600 WILLOW STREET PIKE SWillow Street, PA 17584-9377
Mailing Address2600 Willow Street Pike SWillow Street, PA 17584-9377 · (717) 464-3223
Sole ProprietorNo
Enumeration DateJune 30, 2025
NPPES CertifiedJune 30, 2025
NPI 1083503759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS045246
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2600 WILLOW STREET PIKE S, Willow Street, PA 17584

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2600 WILLOW STREET PIKE S
WILLOW STREET, PA 17584
Dentist (General Practice)
2600 WILLOW STREET PIKE S
WILLOW STREET, PA 17584
Podiatrist
2600 WILLOW STREET PIKE S
WILLOW STREET, PA 17584

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Black's NPI number?

The NPI number for Connor Black is 1083503759. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Connor Black located?

Connor Black practices at 2600 Willow Street Pike S, Willow Street, PA 17584. The listed phone number is (717) 464-3223.

What is Connor Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Connor Black was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.