Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376632943 Individual Practitioner Male Practitioner

Dr. John Thomas Black , DMD

Dentist - General Practice • Pontotoc, MS

Professional Overview & Biography Verified Profile Summary

Dr. John Black, DMD is a registered healthcare professional specializing in Dentist - General Practice in Pontotoc, MS. Practice services are available at 209 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

209 S Main St

Pontotoc, MS 388633319

Telephone 6624897768
Fax 8776984592
Associated Practice Facility / Clinic
🏢 South Main Dental Clinic, Llc Facility NPI 1043756687

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pontotoc, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Pontotoc, MS (895 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 MS 2066-84

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

2 Associated Practitioners
Dr. Matthew Clayton , DMD

Dentist - General Practice

NPI 1265167415

Doctor of Dental Medicine

Dr. Anna Clayton , DMD

Dentist - General Practice

NPI 1598499071

Doctor of Dental Medicine

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

📍
Updated Practice Location July 08, 2007

Registered at 209 S MAIN ST, PONTOTOC, MS 388633319 (Tel: 6624897768)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 539, 209 S MAIN ST, PONTOTOC, MS 388630539 (Tel: 6624897768)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN BLACK, D.M.D.

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

Dentist (License #2066-84 in MS)

🟢
Initial NPI Registration & Enumeration October 12, 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: 1376632943
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 539, 209 S Main St

Pontotoc, MS 388630539

Phone: 6624897768

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.