Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Hall Dental, PC

Organization Dentist · NPI 1306698840

Black Hall Dental, PC is a Dentist in Glen Cove, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10 Medical Plz Ste 210
Glen Cove, NY 11542-2101
Phone: (516) 671-2903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1306698840
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlack Hall Dental, PC
Authorized official Theresa Fan — Administrator · (516) 674-7646
Other names 10 Medical Plaza Dme
NPI enumeratedApril 5, 2024
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address10 Medical Plz Ste 210, Glen Cove, NY 11542-2101

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