Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508940032 Individual Practitioner Male Practitioner

Dr. David Walton Black , DDS

Dentist - General Practice • Scotts Valley, CA

Professional Overview & Biography Verified Profile Summary

Dr. David Black, DDS is a registered healthcare professional specializing in Dentist - General Practice in Scotts Valley, CA. Practice services are available at 4736 SCOTTS VALLEY DR STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4736 Scotts Valley Dr Ste C

Scotts Valley, CA 950664226

Telephone 8314380554
Fax 8314388548
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Scotts Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Scotts Valley, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 21350

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1427524107

Doctor of Dental Medicine

NPI 1477805398

Doctor of Dental Surgery

NPI 1831271683

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4736 SCOTTS VALLEY DR STE C, SCOTTS VALLEY, CA 950664226 (Tel: 8314380554)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4736 SCOTTS VALLEY DR STE C, SCOTTS VALLEY, CA 950664226 (Tel: 8314380554)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID BLACK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #21350 in CA)

🟢
Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508940032
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4736 Scotts Valley Dr Ste C

Scotts Valley, CA 950664226

Phone: 8314380554

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.