DR. SETH MARTIN BLACK DDS
NPI 1093707036
Oral & Maxillofacial Surgery in East Hampton, NY

Active since August 16, 2005PECOS Enrolled
2 DONGAN WAY, EAST HAMPTON, NY 11937(917) 301-8675(212) 755-5572 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Seth Martin Black Dds NPPES

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

DR. SETH MARTIN BLACK DDS (NPI 1093707036) is an individual oral & maxillofacial surgery provider in East Hampton, New York, licensed in New York (033118) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093707036
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. SETH MARTIN BLACKCredential: DDS
Location Address2 DONGAN WAYEast Hampton, NY 11937
Mailing Address2 Dongan WayEast Hampton, NY 11937 · (917) 301-8675 · Fax (212) 755-5572
Fax(212) 755-5572
Sole ProprietorYes
Enumeration DateAugust 16, 2005
Last NPPES UpdateOctober 24, 2023
NPPES CertifiedFebruary 1, 2022
NPI 1093707036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in NY · 033118
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

2 DONGAN WAY, East Hampton, NY 11937

Other Identifiers 1

Medicaid00707135NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Seth Martin Black Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Specialist
2 DONGAN WAY
EAST HAMPTON, NY 11937

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093707036, enumerated as an "individual" on August 16, 2005.

The provider is located at 2 DONGAN WAY EAST HAMPTON, NY 11937 and the phone number is (917) 301-8675.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.